PMID: 7514747Jan 1, 1994Paper

Temporary neurological deterioration caused by hyperperfusion after extracranial-intracranial bypass--case report and study of cerebral hemodynamics

Neurologia Medico-chirurgica
S KurodaK Mitsumori

Abstract

A 64-year-old female with occlusion of the left internal carotid artery (ICA) developed temporary neurological deterioration after superficial temporal artery to middle cerebral artery anastomosis. Preoperative single photon emission computed tomography (SPECT) showed marked reduction of the cerebral perfusion reserve in the left ICA territory. She suddenly developed aphasia 18 hours after operation. Follow-up SPECT revealed temporary hyperperfusion in the left temporal lobe, strongly suggesting that this unusual complication resulted from bypass flow into the brain tissue with chronic severe ischemia and impaired autoregulation.

Citations

Jul 15, 2015·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Yoshio ArakiSusumu Miyamoto
Oct 23, 2008·Lancet Neurology·Satoshi Kuroda, Kiyohiro Houkin
Jul 22, 2014·Journal of Cerebrovascular and Endovascular Neurosurgery·Gun Woo KimSoo Han Kim
Dec 28, 2012·Neurologia Medico-chirurgica·Koichi ItoShogo Ishiuchi
Jan 7, 2017·The Journal of Craniofacial Surgery·Lian LiuHong Yan Sun

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