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

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

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)723-725
Number of pages3
JournalBritish Journal of Neurosurgery
Volume29
Issue number5
DOIs
Publication statusPublished - Sep 3 2015

Keywords

  • bilateral carotid occlusion
  • cerebral revascularization
  • DSCE MRI
  • EC-IC bypass
  • STA-MCA bypass
  • stroke

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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