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[颅外动脉吻合术后固定性神经功能缺损的逆转]

[Reversal of fixed neurological deficits after extra-intracranial arterial anastomosis].

作者信息

Brandt R A, Settani F P

出版信息

Arq Neuropsiquiatr. 1980 Jun;38(2):135-9. doi: 10.1590/s0004-282x1980000200002.

DOI:10.1590/s0004-282x1980000200002
PMID:7436795
Abstract

Four patients with fixed neurological deficits due to occlusion of the middle cerebral or the internal carotid arteries, and with collateral circulation to their territory diagnosed by angiography, recovered after extra-intracranial arterial anastomosis. Functional recovery was seen since the first hours after bypass in three cases and the first few days in the other. Angiographic demonstration of collateral circulation to the territory of an occluded cerebral artery seems to be useful in the selection of patients with fixed neurological deficits for extra-intracranial arterial anastomosis, mainly when other methods are not available.

摘要

4例因大脑中动脉或颈内动脉闭塞而出现固定性神经功能缺损且经血管造影诊断其梗死区域存在侧支循环的患者,在进行颅外-颅内动脉吻合术后恢复良好。3例患者在搭桥术后数小时内即出现功能恢复,另1例在术后数天出现功能恢复。对于存在固定性神经功能缺损的患者,血管造影显示闭塞脑动脉区域有侧支循环,这在选择进行颅外-颅内动脉吻合术时似乎是有用的,尤其是在没有其他可用方法的情况下。

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