Abstract
Six cases of acute stroke which all showed severe neurological dificits were treated by emergency reconstructive surgery.
Embolectomy was performed on three cases within 6, 9. 5 and 18 hours respectively from the onset of stroke, and another three cases underwent STA-MCA anastomosis within 5.5, 9 and 21 hours respectively from the onset.
Hemorrhagic infarction followed all three embolectomy cases and two of them resulted in death. The rest of the cases showed transient exacerbation. Three STA-MCA anastomosis cases enjoyed complete remission and the rest of them resulted in favorable outcome. No hemorrhagic infarction was revealed in all three on CT examination.
The authors conclude that, as far reconstructive surgery for acute stroke, bypass susgery is not only safer but also more fruitful than embolectomy.
