Superficial temporal-middle cerebral artery anastomosis: Effects on vascular, neurologic, and neuropsychological functions

Donald Younkin; Jean Pierre Hungerbuhler; Michael O’Connor; Herbert Goldberg; Alan Burke; Michael Kushner; Howard Hurtig; Walter Obrist; John Gordon; Ruben Gur; Martin Reivich

doi:10.1212/wnl.35.4.462

Superficial temporal-middle cerebral artery anastomosis: Effects on vascular, neurologic, and neuropsychological functions

Donald Younkin^*, Jean Pierre Hungerbuhler, Michael O’Connor, Herbert Goldberg, Alan Burke, Michael Kushner, Howard Hurtig, Walter Obrist, John Gordon, Ruben Gur, Martin Reivich

^*Corresponding author for this work

Neurology

Research output: Contribution to journal › Article › peer-review

23 Scopus citations

Abstract

In 44 patients, we studied the effects of superficial temporal-middle cerebral artery anastomosis on cerebral blood flow (CBF), neurologic examination, and cognitive functions. At 3 months, there was significant im¬provement in all variables. At 9 months, CBF was no longer significantly greater, but neurologic examination and cognitive functions had further improved. Patients with TIA had significant postoperative decreases in TIA frequency and did not progress to stroke, but had no significant changes in any variable. In stroke patients, we could not separate the effects of surgery from the natural evolution of changes in CBF and examination after stroke. None of the preoperative measure¬ments predicted postoperative clinical improvement.

Original language	English (US)
Pages (from-to)	462-469
Number of pages	8
Journal	Neurology
Volume	35
Issue number	4
DOIs	https://doi.org/10.1212/wnl.35.4.462
State	Published - Apr 1985

ASJC Scopus subject areas

Clinical Neurology

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abstract = "In 44 patients, we studied the effects of superficial temporal-middle cerebral artery anastomosis on cerebral blood flow (CBF), neurologic examination, and cognitive functions. At 3 months, there was significant im¬provement in all variables. At 9 months, CBF was no longer significantly greater, but neurologic examination and cognitive functions had further improved. Patients with TIA had significant postoperative decreases in TIA frequency and did not progress to stroke, but had no significant changes in any variable. In stroke patients, we could not separate the effects of surgery from the natural evolution of changes in CBF and examination after stroke. None of the preoperative measure¬ments predicted postoperative clinical improvement.",

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T2 - Effects on vascular, neurologic, and neuropsychological functions

AU - Younkin, Donald

AU - Hungerbuhler, Jean Pierre

AU - O’Connor, Michael

AU - Goldberg, Herbert

AU - Burke, Alan

AU - Kushner, Michael

AU - Hurtig, Howard

AU - Obrist, Walter

AU - Gordon, John

AU - Gur, Ruben

AU - Reivich, Martin

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Superficial temporal-middle cerebral artery anastomosis: Effects on vascular, neurologic, and neuropsychological functions

Abstract

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