Emergency Superficial Temporal Middle Cerebral Artery Bypass Surgery for Acute Symptomatic Middle Cerebral Artery Occlusion With Hemodynamic Disturbance

J Korean Neurol Assoc > Volume 26(4); 2008 > Article

Journal of the Korean Neurological Association 2008;26(4): 353-356.

뇌혈류 감소를 동반한 급성 중간대뇌동맥 폐색 환자에서 응급으로 시행한 얕은 관자-중간대뇌동맥 연결술

배은기, 류위선 이웅우 고영채 김욱주 박석규a 김정은a 배희준 오창완a 한문구

서울대학교 의과대학 신경과학교실, 신경외과학교실a

Emergency Superficial Temporal Middle Cerebral Artery Bypass Surgery for Acute Symptomatic Middle Cerebral Artery Occlusion With Hemodynamic Disturbance

Eun-kee Bae

Department of Neurology and Neurosurgerya, Seoul National University College of Medicine, Seoul, Korea

Abstract

The role of surgical revascularization for patients with ischemic stroke remains controversial. During acute phase of large artery occlusive ischemic stroke, extracranial?intracranial (EC-IC) bypass, such as superficial temporal-middle cerebral aretery (STA-MCA) bypass sugery, has been rarely performed. We report a case of successful emergency STA-MCA bypass surgery to stop the neurologic deterioration and improve the hemodynamic compromise in a patient with acute symptomatic MCA occlusion associated with hypoperfusion.KeyWords:Ischemic stroke, Middle cerebral artery, Revascularization