Kintzel D, Kirsch G
Zentralbl Neurochir. 1979;40(3):253-60.
A report is given on a young patient with a cerebral haemorrhage due to an occlusion of the A. carotis interna and the median main stem in which a regression of the one-sided symptoms could be achieved by a microneurosurgical establishment of an extra-intracranial anastomosis. The improvement of the cerebral perfusion could be objectivated angiographically and scintigraphically. The case shows that the prognosis of the cerebro-vascular lesion, especially in young and middle-aged patients, can be improved by surgical formation of collaterals. This gives hope for a further development of this method of treatment.
报告了一名年轻患者，因颈内动脉和中间主干闭塞导致脑出血，通过显微神经外科建立颅外吻合术，单侧症状得以消退。脑灌注的改善可通过血管造影和闪烁扫描来证实。该病例表明，脑血管病变的预后，尤其是中青年患者，可通过手术形成侧支循环得到改善。这为这种治疗方法的进一步发展带来了希望。
