Journal of Korean Neurosurgical Society

  • 제54권6호
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  • Pages.511-514
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  • 2013
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Revascularization for Symptomatic Occlusion of the Anterior Cerebral Artery Using Superficial Temporal Artery

  • Lee, Sang Chul (Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Ahn, Jun Hyong (Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Kang, Hyun-Seung (Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Kim, Jeong Eun (Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine)
  • 투고 : 2012.08.27
  • 심사 : 2013.08.17
  • 발행 : 2013.12.28
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초록

Isolated symptomatic occlusion of the anterior cerebral artery (ACA) is a rare condition and until date, only few cases regarding the revascularization of the ACA have been reported. This paper reports on successful attempt to revascularize the ACA using superficial temporal artery (STA) in patient with isolated symptomatic occlusion of the ACA. A 69-year-old man presented with several episodes of transient weakness involving left lower extremity. Cerebral angiography showed occlusion of the right ACA at the A2 segment. After medical treatment failure, the patient underwent STA-ACA bypass surgery. Subsequent to surgery, there was immediate disappearance of transient ischemic attack and follow-up angiography showed favorable revascularization of the ACA territory. Bypass surgery can be considered in the patients with symptomatic occlusion of the ACA, who have experienced failure in medical treatment.

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참고문헌

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피인용 문헌

  1. STA-ACA bypass using the ipsilateral free STA graft as an interposition graft and A3-A3 anastomosis for treatment of bilateral ACA steno-occlusive ischemia vol.160, pp.4, 2013, https://doi.org/10.1007/s00701-018-3464-5
  2. STA-Distal ACA Bypass Using a Contralateral STA Interposition Graft for Symptomatic ACA Stenosis vol.20, pp.3, 2013, https://doi.org/10.7461/jcen.2018.20.3.191
  3. A Case of One Staged Cerebral Revascularization for Hemodynamic Insufficiency in Anterior and Middle Cerebral Artery Area Caused by Internal Carotid Artery Occlusion vol.47, pp.4, 2013, https://doi.org/10.2335/scs.47.272