Acute Revascularization for Bihemispheric Anterior Cerebral Artery Thrombosis —Case Report—

Shigeru MIYACHI; Masao WATANABE; Kazuhiko OKAMURA; Norio INOUE; Tetsuya NAGATANI; Teruhide TAKAGI

doi:10.2176/nmc.35.369

Acute Revascularization for Bihemispheric Anterior Cerebral Artery Thrombosis

—Case Report—

Shigeru MIYACHI, Masao WATANABE, Kazuhiko OKAMURA, Norio INOUE, Tetsuya NAGATANI, Teruhide TAKAGI

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Keywords: bihemispheric anterior cerebral artery, thrombosis, acute revascularization, thrombolysis, superficial temporal artery-anterior cerebral artery anastomosis

JOURNAL FREE ACCESS

1995 Volume 35 Issue 6 Pages 369-372

DOI https://doi.org/10.2176/nmc.35.369

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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.

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