[Neuropsychological changes in cerebral ischemia after treatment by the microneurosurgical method. Preliminary...

The results of neuropsychological examinations are reported in 35 patients with ischaemic cerebral syndromes subjected to microneurosurgical treatment with creation of anastomoses between extracranial and intracranial arteries. A great number of psychic function disturbances were found in them occurring characteristically in lesions of the frontal and temporal lobes. In the groups of patients with transient ischaemic attacks and prolonged reversible ischaemic attacks these disturbances regressed mostly after the operation, parallelly with sings of focal lesion. In the group of patients with completed stroke in most cases an improvement was observed in the psychic functions despite lack of neurological improvement. The results of neuropsychological examination in cases of ischaemic cerebral syndromes indicate thus the necessity of extending indications to microneurosurgical treatment in patients with evidence of completed stroke.