Reversal of aphasia with superficial temporal artery to middle cerebral artery anastomosis.
Two patients with aphasia which markedly regressed following superficial temporal to middle cerebral artery anastomoses are reported. Added to the armamentarium of stroke therapy for the amelioration of focal ischemic disease, modern microvascular techniques allow the establishment of collaterals to recipient vessels of less than 1 mm in diameter. A neurological deficit which is supposed to be permanent is usually considered a contraindication to these procedures. This report details two cases in which aphasia and motor weakness markedly improved following a superficial temporal artery to middle cerebral artery anastomosis.
D000368:Aged; D001037:Aphasia / Q000601:surgery*; D002536:Cerebral Arteries / Q000601:surgery*; D005260:Female; D006429:Hemiplegia / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D013699:Temporal Arteries / Q000601:surgery*