Nakajima Makoto, Inatomi Yuichiro, Yonehara Toshiro, Terasaki Tadashi, Ando Yukio
Department of Neurology, Stroke Center, Saiseikai Kumamoto Hospital, Japan.
Intern Med. 2014;53(7):797-800. doi: 10.2169/internalmedicine.53.1891. Epub 2012 Mar 1.
We herein present the cases of two patients with multiple ischemic events, presumably due to varying degrees of middle cerebral artery (MCA) stenosis. The first patient was treated medically, and the symptoms and degree of MCA stenosis varied over several months. The second patient received emergent bypass surgery and experienced no further events, although the MCA stenosis progressed over four months. Emergent intracranial bypass surgery is an option for preventing further ischemic events in patients with symptomatic MCA stenosis.
我们在此报告两例有多次缺血事件的患者，推测是由于不同程度的大脑中动脉（MCA）狭窄所致。首例患者接受药物治疗，MCA狭窄的症状和程度在数月内有所变化。第二例患者接受了急诊搭桥手术，尽管MCA狭窄在四个月内有所进展，但未再发生其他事件。对于有症状的MCA狭窄患者，急诊颅内搭桥手术是预防进一步缺血事件的一种选择。
