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Journal of Korean Neurosurgical Society 1977;6(1): 73-78.
A Case of Extra Intracranial Arterial By-pass Graft.
C R Choi, S H Yoon, J U Song
Department of Neurosurgery, St. Mary's Hospital Catholic Medical College, Seoul, Korea.
A 9 years old girl had sudden bursting headache and weakness of left extremities for 2 days. Finally he could not walk due to hemiplegia. Neurological examination revealed flaccid hemiplegia, left. Angiogram performed by conventional selective injection into the common carotid artery. Angiographic findings may be demonstrated thrombosis of cortical branch of middle cerebral artery. ELAB(Extra cranial and Intracranial Arterial By-pass) was performed between STA and MCA by microsurgical techniques. Postoperative angiographic control performed by selective injections into the right external carotid artery. It should be emphasized that for thrombosis of middle cerebral artery in children, the early diagnosis and STA-MCA anastomosis are essential to save the patients.
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