Cognitive improvement after extracranial reconstruction for the low flow--endangered brain.
Twelve patients with multiple occlusive neck vessel lesions were thought to possess low flow-endangered brains. These patients were studied before and after carotid reconstruction with a battery of neuropsychologic tests emphasizing memory and mental agility. A closely matched control group was selected from patients undergoing endarterectomy for hemodynamically insignificant lesions. The patients with low flow-endangered brains showed significantly greater improvements in memory and mental abilities than did the control group. Reconstruction of neck vessels may reverse such global neurologic deficits in carefully selected patients.
D000704:Analysis of Variance; D001157:Arterial Occlusive Diseases / Q000523:psychology / Q000601:surgery; D002339:Carotid Arteries / Q000601:surgery*; D002561:Cerebrovascular Disorders / Q000523:psychology / Q000601:surgery*; D003071:Cognition; D004691:Endarterectomy; D006801:Humans; D008297:Male; D008606:Mental Processes; D008875:Middle Aged; D011597:Psychomotor Performance; D014145:Trail Making Test