• Neurol. Med. Chir. (Tokyo) · Jun 1995

    Case Reports

    Acute revascularization for bihemispheric anterior cerebral artery thrombosis--case report.

    • S Miyachi, M Watanabe, K Okamura, N Inoue, T Nagatani, and T Takagi.
    • Department of Neurosurgery, Toyohashi Municipal Hospital, Aichi, Japan.
    • Neurol. Med. Chir. (Tokyo). 1995 Jun 1; 35 (6): 369-72.

    AbstractA 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.

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