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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.20 No.3
- 발행연도
- 2018.1
- 수록면
- 191 - 197 (7page)
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초록· 키워드
오류제보하기
Intracranial arterial stenosis usually occurs due to atherosclerosis and is considered the most common cause of stroke worldwide. Although the effectiveness of bypass surgery for ischemic stroke is controversial, the superficial temporal artery to the middle cerebral artery bypass for ischemic stroke is a common procedure. In our report, a 50-year-old man presented with sudden-onset left side weakness and dysarthria. An angiogram showed significant stenosis in the junction of the right cavernous- supraclinoid internal carotid artery and right pericallosal artery. Symptoms altered between improvement and deterioration. Magnetic resonance imaging showed a repeated progression of anterior cerebral artery (ACA) infarction despite maximal medical therapy. We performed a STA-ACA bypass with contralateral STA interposition. Postoperative course was uneventful with no further progression of symptoms. Thus, bypass surgery may be considered in patients with symptomatic stenosis or occlusion of the ACA, especially when patients present progressive symptoms despite maximal medical therapy.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Amin-Hanjani S / 2012 / Extracranial-intracranial bypass for stroke-is this the end of the line or a bump in the road? / Neurosurgery 71(3):557~561
Baron JC / 1981 / Reversal of focal "misery-perfusion syndrome" by extra-intracranial arterial bypass in hemodynamic cerebral ischemia. A case study with 15O positron emission tomography / Stroke 12(4):454~459
Carlson AP / 2011 / Failure of cerebral hemodynamic selection in general or of specific positron emission tomography methodology?: Carotid Occlusion Surgery Study (COSS) / Stroke 42(12):3637~3639
Carvalho M / 2014 / Intracranial arterial stenosis / J Stroke Cerebrovasc Dis 23(4):599~609
Group JS / 2002 / Japanese EC-IC Bypass Trial (JET Study) / Surgery for Cerebral Stroke 30(6):434~437
Baron JC / 1981 / Reversal of focal "misery-perfusion syndrome" by extra-intracranial arterial bypass in hemodynamic cerebral ischemia. A case study with 15O positron emission tomography / Stroke 12(4):454~459
Carlson AP / 2011 / Failure of cerebral hemodynamic selection in general or of specific positron emission tomography methodology?: Carotid Occlusion Surgery Study (COSS) / Stroke 42(12):3637~3639
Carvalho M / 2014 / Intracranial arterial stenosis / J Stroke Cerebrovasc Dis 23(4):599~609
Group JS / 2002 / Japanese EC-IC Bypass Trial (JET Study) / Surgery for Cerebral Stroke 30(6):434~437
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