Extracranial-intracranial Arterial Bypass in the Management of Symptomatic Vasospasm
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- KOROSUE Kazuyoshi
- Department of Neurosurgery, Nagao Hospital
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- KONDOH Takeshi
- Department of Neurosurgery, Nagao Hospital
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- ISHIKAWA Akihiro
- Department of Neurosurgery, Nagao Hospital
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- SUZUKI Hisahiko
- Department of Neurosurgery, Nagao Hospital
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- NAGAO Tomonori
- Department of Neurosurgery, Nagao Hospital
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- TAMAKI Norihiko
- Department of Neurosurgery, Kobe University
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- MATSUMOTO Satoshi
- Department of Neurosurgery, Kobe University
Bibliographic Information
- Other Title
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- 浅側頭動脈―中大脳動脈吻合術による症候性脳血管攣縮治療の試み
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Description
Delayed neurologic deterioration from vasospasm remains the greatest cause of morbidity and mortality following subarachnoid hemorrhage. The authors performed superficial temporal arterymiddle cerebral artery bypass in three patients with symptomatic vasospasm and studied its effects on cerebral hemodynamics. All three patients responded neurologically to the bypass procedure within 24 hours. The average cerebral blood flow in the region supplied by the spastic middle cerebral artery increased from 40 ml/100 g/min to 49 ml/100 g/min after bypass. Angiography disclosed dilatation of donor vessels during the peak of spasm, followed by their decrease in caliber coincident with alleviation of vasospasm. The authors conclude that superficial temporal arterymiddle cerebral artery anastomosis for the management of symptomatic vasospasm can increase blood flow in the ischemic region supplied by the spastic artery. This management strategy may lower the incidence of death and disability from vasospasm after subarachnoid hemorrhage.
Journal
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- Neurologia medico-chirurgica
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Neurologia medico-chirurgica 29 (4), 285-291, 1989
The Japan Neurosurgical Society
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Details 詳細情報について
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- CRID
- 1390001205053911552
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- NII Article ID
- 110002277873
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- NII Book ID
- AN00358613
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- COI
- 1:STN:280:By%2BD2cvlslY%3D
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- ISSN
- 13498029
- 04708105
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- PubMed
- 2478908
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- Text Lang
- en
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- Data Source
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- JaLC
- Crossref
- PubMed
- CiNii Articles
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- Abstract License Flag
- Disallowed