[Extra-intracranial microanastomosis and its future].
Current examination methods fail to provide exact information on potential conditions for functional rehabilitation of ischemic foci. They do not yield the necessary data which would allow to determine reliably the effect of extra-intracranial microanastomosis on the clinical picture. The potentially positive effect depends on the condition of the ischemic lesion and on the pattern of the individual geometry of the cerebral vascular network. In the light of two case reports the author contests the decisive refusal of extra-intracranial microanastomosis as the therapeutic procedure in cerebral ischemia. Although the effect of microanastomosis does not warrant improvement of the clinical picture, it creates better conditions for its potential development. It is frequently impossible to decide unequivocally whether improvement was due to the operation or whether it had occurred also without it. This, however, is not a unique phenomenon in surgery. The potentiality of its positive effect, inherent to the procedure, is both its shortcoming and guarantee of its further survival.
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D001921:Brain / Q000000981:diagnostic imaging; D002545:Brain Ischemia / Q000000981:diagnostic imaging / Q000601:surgery; D002533:Cerebral Angiography; D002548:Cerebral Revascularization; D006801:Humans; D008297:Male; D008875:Middle Aged
Extra-intrakraniálna mikroanastomóza a jej budúcnost'.