Ermekov Zh M, Shakhnovich A R, Filatov Iu M, Inauri G A, Tissen T P
Zh Vopr Neirokhir Im N N Burdenko. 1986 Jan-Feb(1):42-50.
The authors analyse the results of clinical and X-ray examination of 20 patients with stenosing lesions in the system of the internal carotid artery after operations for establishing extra-intracranial microvascular anastomoses (EICMA). Marked stable neurological symptomatology was encountered before the operation in arterial stenosis of a high degree (more than 50%) and the presence of brain infarctions. In functioning EICMA, evolution of stenoses in the system of the internal carotid arteries was found, which was characterized both by their increase (even to the development of thrombosis) and by their involution. Evolution of the stenoses did not occur if the EICMA failed to function. The operation leads to a less marked character of the neurological symptoms or has no particular effect on their dynamics. Changed amplitude and volume of active movements, muscular tone and strength, as well as of speech function, were found to be the most sensitive indicators of the operation efficacy. Regression of the neurologic symptoms after the operation was observed even in extensive brain infarctions and long standing of the disease.
作者分析了20例在进行颅外-颅内微血管吻合术（EICMA）后出现颈内动脉系统狭窄性病变患者的临床及X线检查结果。在高度（超过50%）动脉狭窄且存在脑梗死的情况下，术前出现了明显稳定的神经症状。在功能正常的EICMA中，发现颈内动脉系统狭窄有演变过程，其特点既有狭窄增加（甚至发展为血栓形成），也有狭窄消退。如果EICMA未能发挥功能，则不会出现狭窄演变。该手术使神经症状的特征不太明显，或对其动态变化没有特别影响。发现主动运动的幅度和量、肌肉张力和力量以及言语功能的改变是手术效果最敏感的指标。即使在广泛脑梗死和疾病病程较长的情况下，术后也观察到神经症状有所缓解。
