Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Revascularization for Symptomatic Occlusion of the Anterior Cerebral Artery Using Superficial Temporal Artery

  • Lee, Sang Chul (Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Ahn, Jun Hyong (Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Kang, Hyun-Seung (Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Kim, Jeong Eun (Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine)
  • Received : 2012.08.27
  • Accepted : 2013.08.17
  • Published : 2013.12.28
Download PDF
⟨ Previous Next ⟩

Abstract

Isolated symptomatic occlusion of the anterior cerebral artery (ACA) is a rare condition and until date, only few cases regarding the revascularization of the ACA have been reported. This paper reports on successful attempt to revascularize the ACA using superficial temporal artery (STA) in patient with isolated symptomatic occlusion of the ACA. A 69-year-old man presented with several episodes of transient weakness involving left lower extremity. Cerebral angiography showed occlusion of the right ACA at the A2 segment. After medical treatment failure, the patient underwent STA-ACA bypass surgery. Subsequent to surgery, there was immediate disappearance of transient ischemic attack and follow-up angiography showed favorable revascularization of the ACA territory. Bypass surgery can be considered in the patients with symptomatic occlusion of the ACA, who have experienced failure in medical treatment.

Keywords

References

  1. Arboix A, Garcia-Eroles L, Sellares N, Raga A, Oliveres M, Massons J : Infarction in the territory of the anterior cerebral artery : clinical study of 51 patients. BMC Neurol 9 : 30, 2009 https://doi.org/10.1186/1471-2377-9-30
  2. Gacs G, Fox AJ, Barnett HJ, Vinuela F : Occurrence and mechanisms of occlusion of the anterior cerebral artery. Stroke 14 : 952-959, 1983 https://doi.org/10.1161/01.STR.14.6.952
  3. Ikeda A, Okada T, Shibuya M, Noda S, Sugiura M, Iguchi I, et al. : Revascularization of the anterior cerebral artery. Report of two cases. JNeurosurg 62 : 603-606, 1985 https://doi.org/10.3171/jns.1985.62.4.0603
  4. Ishii R, Koike T, Takeuchi S, Ohsugi S, Tanaka R, Konno K : Anastomosis of the superficial temporal artery to the distal anterior cerebral artery with interposed cephalic vein graft. Case report. J Neurosurg 58 : 425-429, 1983 https://doi.org/10.3171/jns.1983.58.3.0425
  5. Ito Z : [A new technique of intracranial interarterial anastomosis between distal anterior cerebral arteries (ACA) for ACA occlusion and its indication (author's transl)]. Neurol Med Chir (Tokyo) 21 : 931-939, 1981 https://doi.org/10.2176/nmc.21.931
  6. Iwata Y, Mizuta T, Takemoto O, Shimizu K, Nakatani S : An interposed superficial temporal artery graft bypass for anterior cerebral artery ischemia. Microsurgery 9 : 14-17, 1988 https://doi.org/10.1002/micr.1920090105
  7. Kumral E, Bayulkem G, Evyapan D, Yunten N : Spectrum of anterior cerebral artery territory infarction : clinical and MRI findings. Eur J Neurol 9 : 615-624, 2002 https://doi.org/10.1046/j.1468-1331.2002.00452.x
  8. Sato S, Toyoda K, Matsuoka H, Okatsu H, Kasuya J, Takada T, et al. : Isolated anterior cerebral artery territory infarction : dissection as an etiological mechanism. Cerebrovasc Dis 29 : 170-177, 2010 https://doi.org/10.1159/000262314
  9. Terasaka S, Satoh M, Echizenya K, Murai H, Fujimoto S, Asaoka K : Revascularization of the anterior cerebral artery using a free superficial temporal artery graft : a case report. Surg Neurol 48 : 164-169; discussion 169-170, 1997 https://doi.org/10.1016/S0090-3019(96)00476-4

Cited by

  1. STA-ACA bypass using the ipsilateral free STA graft as an interposition graft and A3-A3 anastomosis for treatment of bilateral ACA steno-occlusive ischemia vol.160, pp.4, 2013, https://doi.org/10.1007/s00701-018-3464-5
  2. STA-Distal ACA Bypass Using a Contralateral STA Interposition Graft for Symptomatic ACA Stenosis vol.20, pp.3, 2013, https://doi.org/10.7461/jcen.2018.20.3.191
  3. A Case of One Staged Cerebral Revascularization for Hemodynamic Insufficiency in Anterior and Middle Cerebral Artery Area Caused by Internal Carotid Artery Occlusion vol.47, pp.4, 2013, https://doi.org/10.2335/scs.47.272