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

Research output: Contribution to journalArticle

22 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 languageEnglish (US)
Pages (from-to)462-469
Number of pages8
JournalNeurology
Volume35
Issue number4
DOIs
StatePublished - Apr 1985

ASJC Scopus subject areas

  • Clinical Neurology

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    Younkin, D., Hungerbuhler, J. P., O’Connor, M., Goldberg, H., Burke, A., Kushner, M., Hurtig, H., Obrist, W., Gordon, J., Gur, R., & Reivich, M. (1985). Superficial temporal-middle cerebral artery anastomosis: Effects on vascular, neurologic, and neuropsychological functions. Neurology, 35(4), 462-469. https://doi.org/10.1212/wnl.35.4.462