Superficial Temporal Artery-middle Cerebral Artery Anastomosis for Ischemic Stroke due to Dissection of the Intracranial Internal Carotid Artery with Middle Cerebral Artery Extension

Ikota, Masashi; Kusaka, Gen; Tanaka, Yuichi

doi:10.2176/nmccrj.cr.2017-0063

Cited by 5 publications

(4 citation statements)

References 24 publications

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“…In their case, TFCA 6 months after the surgery revealed spontaneous resolution of the dissection. 7) In the present case, TFCA on postoperative day 5 showed partial recanalization of the dissection segment, suggesting that, with the concomitant use of antiplatelet agents, retrograde blood flow might stabilize the dissection flap. The patient recovered well without further ischaemic attacks and her left-side hemiparesis had improved significantly from motor grade 2/2 to 4/4 6 months after the surgery.…”

Section: Discussionsupporting

confidence: 46%

“…In case 2, urgent STA-MCA anastomosis was performed 3 days after symptom onset to prevent further cerebral infarction. There are a few case reports of IAD treated with STA-MCA anastomosis and the indications for surgical intervention are not yet firmly established [ 7 , 10 , 14 - 17 ]. Oka et al classified patients with IAD presenting as AIS into three types: (A) Single attack with severe outcomes (cannot walk); (B) Single attack with mild to moderate outcomes (can walk); (C) Recurrent attacks with various outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…They state that early bypass surgery could salvage the cortical penumbra in the acute phase. In their case, TFCA 6 months after the surgery revealed spontaneous resolution of the dissection [ 7 ]. In the present case, TFCA on postoperative day 5 showed partial recanalization of the dissection segment, suggesting that, with the concomitant use of antiplatelet agents, retrograde blood flow might stabilize the dissection flap.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Various treatment modalities for isolated intracranial middle cerebral arterial dissection with progressive ischemic symptoms: 2 case reports of endovascular stent and bypass surgery

Eun,

Kim,

Cho

et al. 2024

J Cerebrovasc Endovasc Neurosurg

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Isolated middle cerebral artery dissection (MCAD) is rare but increasingly recognized as a significant clinical entity, particularly in younger adults. Ischemic stroke is the most common manifestation in symptomatic cases but symptoms can vary in severity from headaches to severe neurologic deficits. Due to its rarity and unpredictable clinical course, there is no established treatment strategy for isolated MCAD. Through two case reports, we reviewed the post-operative clinical course of MCAD under different treatment modalities. Case 1 was a 21-year-old woman who presented to the emergency department with headaches and left-side hemiparesis. Isolated MCAD was diagnosed and she was successfully treated with the placement of a self-expandable stent and subsequent chemical angioplasty for post-stent vasospasm. Case 2 was a 35-year-old woman who presented to the emergency department with left-side hemiparesis and dysarthria. Isolated MCAD was diagnosed and she was successfully treated with superficial temporal artery (STA) to middle cerebral artery (MCA) anastomosis.

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Section: Discussionsupporting

confidence: 46%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Various treatment modalities for isolated intracranial middle cerebral arterial dissection with progressive ischemic symptoms: 2 case reports of endovascular stent and bypass surgery

Eun,

Kim,

Cho

et al. 2024

J Cerebrovasc Endovasc Neurosurg

View full text Add to dashboard Cite

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“…Besides, considering the potential risk of subsequent hemorrhagic complications by recanalization of the dissected perforator, prudent postoperative management, including strict blood pressure control, was advisable for EVT against IAD involving perforators ( 24 ). Some scholars believed that superficial temporal artery-middle cerebral artery anastomosis was an effective treatment for ischemic stroke due to dissection of the intracranial internal carotid artery with middle cerebral artery extension ( 25 ). In clinical practice, hemorrhagic IADs were unstable lesions, with a high propensity for re-bleeding (up to 40%) in the acute period.…”

Section: Discussionmentioning

confidence: 99%

Case report: Acute ischemic stroke caused by intracranial artery dissection in a patient with skull fractures

Zheng¹,

Luo²,

Zhou³

et al. 2022

Front. Neurol.

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The intracranial artery dissection (IAD) is an uncommon but life-threatening disease. The IAD would develop a significant cerebral infarction due to unrecognized contrecoup brain injury. We report a 53-year-old man fell to develop blunt cerebrovascular injuries (BCVIs) more than 2 months ago. During his rehabilitation, he often had a transient left headache and underwent short-term right limb weakness twice, but he did not care. He was hospitalized again because of suffering right limb weakness for more than 4 h. The brain computed tomography angiography (CTA) showed subtotal occlusion of the left middle cerebral artery M1 segment, and the vascular morphology displayed the IAD. The patient was then treated with balloon dilation and a self-expanding stent. This case highlights that IAD may show delayed onset with no initial typical symptom. By early detecting of abnormal signs and symptoms, serious traumatic brain injury may be avoided.

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Trends in Literature on Cerebral Bypass Surgery: A Systematic Review

et al. 2021

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Introduction: Ever since the beginning of cerebral bypass surgery, the role of the bypass has been debated and indications have changed over the last 5 decades. This systematic literature research analysed all clinical studies on cerebral bypass that have been published from January 1959 to January 2020 for their year of publication, country of origin, citation index, role of and indication for bypass, bypass technique, revascularized territory, flow capacity, and title (for word cloud analysis per decade). Methods: A systematic literature research was conducted using PubMed, Web of Science, EMBASE, and SCOPUS databases. All studies that have been published until January 1, 2020, were included. Results: Of 6,013 identified studies, 2,585 were included in the analysis. Of these, n = 1,734 (67%) studies addressed flow-augmentation bypass and n = 701 (27%) addressed flow-preservation bypass. The most common indication reported for flow augmentation is moyamoya (n = 877, 51%), followed by atherosclerotic steno-occlusive disease (n = 753, 43%). For flow preservation, the most common indication is studies reporting on cerebral aneurysm surgery (n = 659, 94%). The increasing popularity of reporting on these bypass operations almost came to an end with the FDA approval of flow diverters for aneurysm treatment in 2011. Japan is the country with the most bypass studies (cumulatively published 933 articles), followed by the USA (630 articles) and China (232 articles). Discussion/Conclusion: Clinical studies on cerebral bypass surgery have become increasingly popular in the past decades. Since the introduction of moyamoya as a distinct pathologic entity, Asian countries in particular have a very active community regarding this disease, with an increasing number of articles published every year. Studies on bypass for chronic steno-occlusive disease peaked in the 1980s but have remained the main focus of bypass research, particularly in many European departments. The number of reports published on these bypass operations significantly decreased after the FDA approval of flow diverters for aneurysm treatment in 2011.

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Superficial Temporal Artery-middle Cerebral Artery Anastomosis for Ischemic Stroke due to Dissection of the Intracranial Internal Carotid Artery with Middle Cerebral Artery Extension

Cited by 5 publications

References 24 publications

Various treatment modalities for isolated intracranial middle cerebral arterial dissection with progressive ischemic symptoms: 2 case reports of endovascular stent and bypass surgery

Various treatment modalities for isolated intracranial middle cerebral arterial dissection with progressive ischemic symptoms: 2 case reports of endovascular stent and bypass surgery

Case report: Acute ischemic stroke caused by intracranial artery dissection in a patient with skull fractures

Trends in Literature on Cerebral Bypass Surgery: A Systematic Review

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