Creation of extracranial-intracranial microvascular anastomosis under regional anesthesia (a case report and a review of the literature)

Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko
D Yu UsachevK A Kozlova

Abstract

The article describes a case of successful surgical treatment of an 81-year-old male patient with symptomatic occlusion of the internal carotid artery that led to severe impairment of cerebral hemodynamics and was accompanied by severe gait and equilibrium disorders. Given the patient's age and his positive medical history, he underwent surgery for the creation of an extracranial-intracranial microvascular anastomosis under regional anesthesia, with spontaneous breathing and a baseline level of consciousness being maintained. In the postoperative period, the patient achieved a marked clinical effect in the form of complete regression of syncopal conditions and gait disorders associated with recovery of cerebral perfusion in the right MCA territory. The article discusses the indications for surgical treatment and the technical details of surgery for the creation of an extracranial-intracranial microvascular anastomosis under regional anesthesia.

References

Feb 16, 2008·Neurosurgical Focus·Marcelo D Vilela, David W Newell
Jul 12, 2011·The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease·J S LeeS-D Lee
Oct 30, 2012·Journal of Neurosurgery·Robert L GrubbUNKNOWN Carotid Occlusion Surgery Study Investigators
Aug 6, 2013·Journal of Neurosurgery·Matthew R ReynoldsUNKNOWN Carotid Occlusion Surgery Study Investigators
Feb 18, 2016·Journal of Cerebral Blood Flow and Metabolism : Official Journal of the International Society of Cerebral Blood Flow and Metabolism·Gordon W BlairJoanna M Wardlaw
Mar 2, 2016·European Journal of Anaesthesiology·Marc Licker
Nov 2, 2016·Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko·V A LukshinE I Schultz

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