Posterior circulation EC-IC bypass via supracerebellar transtentorial SCTT approach applied in a young patient with congenital multiple occlusive cerebrovascular anomalies - case report and technical note.
A case of remarkable vertebrobasilar insufficiency due to congenital multiple occlusive cerebro-vascular anomalies is presented. Anomalies are of the anterior and posterior circulation, presumably induced by "segmental vulnerability" and modified by infection of recurrent tonsillitis. Symptoms of repeated faintness and black-out attacks and deterioration of cognitive function compromised the quality of life considerably. Successful treatment was achieved by combination of a new type of posterior circulation revascularization procedure, namely occipital artery - superior cerebellar artery bypass via the supracerebellar transtentorial SCTT approach in the sitting position in combination with a standard superficial temporal artery STA-MCA bypass.
Yonekawa
Yasuhiro
Y
Neurochirurgie FMH, Haldenbachstrasse 18, CH-8091, Zürich, Switzerland. yasuhiro.yonekawa@usz.ch
D002531:Cerebellum / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D002548:Cerebral Revascularization / Q000379:methods*; D002561:Cerebrovascular Disorders / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography / Q000379:methods; D008279:Magnetic Resonance Imaging / Q000379:methods; D019635:Neurosurgical Procedures / Q000379:methods*; D049268:Positron-Emission Tomography / Q000379:methods; D055815:Young Adult