Stroke-in-evolution--an indication for an emergency extracranial-intracranial bypass.
The role of the emergency extracranial-intracranial bypass in the management of the stroke-in-evolution is controversial. A case is presented in which the patient's fluctuating clinical picture was influenced by hemodynamic factors. The site of occlusion was inaccessible and an emergency extracranial-intracranial bypass was made to restore cerebral blood flow. The patient made a dramatic recovery after the operation. An emergency extracranial-intracranial bypass may be indicated in carefully selected cases.
D000328:Adult; D002548:Cerebral Revascularization; D002561:Cerebrovascular Disorders / Q000601:surgery*; D004632:Emergency Medical Services; D005260:Female; D006801:Humans