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Acute revascularization for bihemispheric anterior cerebral artery thrombosis--case report
S Miyachi1, M Watanabe, K Okamura
1Department of Neurosurgery, Toyohashi Municipal Hospital, Aichi, Japan.
Neurologia Medico-Chirurgica
|June 1, 1995
Abstract:
A 65-year-old male presented with rapidly progressive paraparesis and akinetic mutism due to occlusion of the bihemispheric anterior cerebral artery (ACA). He was treated by intra-arterial thrombolytic therapy but reocclusion of the arteriosclerotic lesion occurred. Bilateral superficial temporal artery (STA)-ACA anastomoses achieved lasting neurological improvement. Bilateral STA-ACA anastomoses are quite effective to prevent ischemia of the bilateral ACA territories.