A case of internal carotid artery occlusion successfully treated by encephalo-duro-arterio-synangiosis.
In many cases, intracranial occlusive strokes in children are treated symptomatically, with a diagnosis of acute infantile hemiplegia. This is because angiography is more difficult in children and, even if occlusive cerebral arterial disease is diagnosed, there is no definite therapeutic procedure. A case is reported of left internal carotid artery occlusion presenting with acute infantile hemiplegia and followed by repeated transient ischemic attacks. Encephalo-duro-arterio-synangiosis--developed as an operation for moyamoya disease--was performed on this patient, resulting in a marked revascularization of the brain in 8 postoperative months with good improvement in symptoms. This suggests that the operation may be effective in chronic cerebral ischemic diseases other than moyamoya disease.
D000208:Acute Disease; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000601:surgery*; D002340:Carotid Artery Diseases / Q000150:complications / Q000601:surgery*; D002343:Carotid Artery, Internal; D002548:Cerebral Revascularization / Q000379:methods*; D002675:Child, Preschool; D006429:Hemiplegia / Q000209:etiology; D006801:Humans; D008297:Male