慢性低灌流症状に対するバイパス手術の適応と限界

概要

論文の詳細を見る
It is well known that the patient with cerebral ischemia shows not only sensorimotor disturbance, but often intellectural disturbance. Authors reviewed 8 patients of internal carotid or middle cerebral artery occlusion; all were men, ranging in age from 33 to 57. Main symptoms of them on admission were aphasia, memory disturbance, difficulty in calculation and loss of spontaneity.<BR>Superficial temporal artery (STA)-cortical middle cerebral artery (MCA) anastomoses were performed in all patients and post operative angiogram revealed good visualization of the shunt. Patients were given psychological examinations such as Wechsler Adult Intelligence Scale, Benton Visual Memory Retention Test, Kraepelin Test and Standard Language Test for Aphasia pre- and postoperatively. By analyzing the examination data, 2 patients rated good, 3 rated fair and 3 rated unchanged.<BR>Considering the clinical course of the patients with cerebral ischemia in our series, it was concluded that the STA-MCA bypass surgery was very constructive procedure.
The Japanese Society on Surgery for Cerebral Strokeの論文