Bilateral flow changes after extracranial-intracranial bypass surgery in a complex setting of multiple brain-feeding arteries occlusion: The role of perfusion studies

Giovanni Sabatino, Simona Gaudino, Alfredo Puca, Enrico Marchese, Alessio Albanese, Giuseppe Maria Della Pepa, Giuseppe Esposito

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

3 Citazioni (Scopus)

Abstract

We report on a symptomatic case in which the whole intracranial blood supply was provided by a single vertebral artery as both internal carotid arteries were occluded and the contralateral vertebral artery was severely hypoplasic. The patient was treated by a flow-augmentation extracranial-intracranial bypass. Preoperative perfusion studies were essential in tailoring surgical strategy. Keypoints of the paper are contralateral perfusion changes after unilateral bypass surgery. The patient experienced a total recovery from symptoms and a bilateral improvement in brain perfusion, probably as consequence of post-operative hemodynamic rearrangement.
Lingua originaleEnglish
pagine (da-a)723-725
Numero di pagine3
RivistaBritish Journal of Neurosurgery
Volume29
DOI
Stato di pubblicazionePubblicato - 2015

Keywords

  • Cerebral Revascularization
  • bilateral carotid occlusion

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