title: Acute revascularization for bihemispheric anterior cerebral artery thrombosis--case report.
abstract: A 65-year-old male presented with rapidly progressive paraparesis and akinetic mutism due to occlusion of the bihemispheric anterior cerebral artery (ACA). He was treated by intra-arterial thrombolytic therapy but reocclusion of the arteriosclerotic lesion occurred. Bilateral superficial temporal artery (STA)-ACA anastomoses achieved lasting neurological improvement. Bilateral STA-ACA anastomoses are quite effective to prevent ischemia of the bilateral ACA territories.
authors.affiliation: Department of Neurosurgery, Toyohashi Municipal Hospital, Aichi, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Miyachi
authors.forename: M
authors.initials: M
authors.lastname: Watanabe
authors.forename: K
authors.initials: K
authors.lastname: Okamura
authors.forename: N
authors.initials: N
authors.lastname: Inoue
authors.forename: T
authors.initials: T
authors.lastname: Nagatani
authors.forename: T
authors.initials: T
authors.lastname: Takagi
mesh_terms: D000368:Aged; D002533:Cerebral Angiography; D002548:Cerebral Revascularization / Q000379:methods*; D004292:Dominance, Cerebral / Q000502:physiology*; D006801:Humans; D002537:Intracranial Arteriosclerosis / Q000000981:diagnostic imaging / Q000601:surgery; D002542:Intracranial Embolism and Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D012008:Recurrence; D015912:Thrombolytic Therapy; D014057:Tomography, X-Ray Computed