Document Detail


Posterior circulation revascularization. Superficial temporal artery to superior cerebellar artery anastomosis.
MedLine Citation:
PMID:  7077375     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Eight patients were evaluated for severe vertebrobasilar insufficiency (VBI). There were five males and three females, with an average age of 60.2 years (range 42 to 67 years). Three were diabetic and five hypertensive, including two patients who had both diseases. Seven of the eight had ongoing episodes of VBI refractory to anticoagulant and/or antiplatelet agents. Symptoms included two or more of the following in all patients: dizziness, diplopia, hemiparesis, hemihypesthesia, perioral numbness, bilateral visual blurring, dysarthria, and ataxia. Angiography revealed severe atherosclerotic stenosis of the proximal or midsection of the basilar artery in all patients. A 10-cm segment of the anterior or posterior division of the superficial temporal artery (STA) was anastomosed to a proximal segment of the superior cerebellar artery (SCA) through a right subtemporal approach. Seven of eight (87%) postoperative angiograms demonstrated patency as evidenced by filling of the SCA and, in most cases, of the basilar artery. Six of the eight patients were improved or asymptomatic after the operation, one was unchanged, and one died. The average follow-up period was 14 months, with a range of 4 to 23 months. Transient morbidity included temporal lobe swelling in four patients and a subdural hematoma in one. Anastomosis of the STA to the SCA is a feasible therapeutic option in the patient with VBI secondary to stenosis of the proximal or midsection of the basilar artery.
Authors:
J I Ausman; F G Diaz; R A de los Reyes; H Pak; S Patel; B Mehta; R Boulos
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  56     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  1982 Jun 
Date Detail:
Created Date:  1982-07-19     Completed Date:  1982-07-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  766-76     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arteries / surgery
Cerebellum / blood supply
Cerebral Angiography
Cerebral Revascularization / methods*
Female
Humans
Hypertension / complications
Male
Middle Aged
Postoperative Complications / radiography
Temporal Arteries / surgery
Vertebrobasilar Insufficiency / radiography,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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