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

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.

journal_name

Br J Neurosurg

authors

Esposito G,Della Pepa GM,Sabatino G,Gaudino S,Puca A,Maira G,Marchese E,Albanese A

doi

10.3109/02688697.2015.1023779

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

723-5

issue

5

eissn

0268-8697

issn

1360-046X

journal_volume

29

pub_type

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