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Journal of Korean Neurosurgical Society 1989;18(4): 588-597.
ST A-MCA Anastomosis in Ischemic Stroke.
Dong Sup Jung, Dal Soo Kim, Joon Ki Kang, Jin Un Song
Department of Neurosurgery, Catholic University Medical College, Seoul, Korea.
The role of cerebral revascularization in the treatment of ischemic stroke has been incompletely investigated. Ten patients with middle cerebral artery occlusion or stenosis and four patients with internal carotic artery occlusion or stenosis underwent superficial temporal artery-middle cerebral artery(STA-MCA) bypass surgery in the setting of acute neurological deficits, crescendo transient ischemic attacks(TIA'S), or recent completed stroke(CS). Early STA-MCA anastomosis was remarkably helpful in the setting of acute cerebral ischemia and crescendo TIA'S for their symptomatic relief. In addition, low flow revascularization were performed safely and also contributed to stabilization or slight reduction of the neurological deficit enen in CS. However, further controlled randomized studies are indicated.
Key Words: Cerebral revascularization; Ischemic stroke; Penumbra
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