Acute revascularization for bihemispheric anterior cerebral artery thrombosis--case report.
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.
Miyachi
S
S
Department of Neurosurgery, Toyohashi Municipal Hospital, Aichi, Japan.
Watanabe
M
M
Okamura
K
K
Inoue
N
N
Nagatani
T
T
Takagi
T
T
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