Superficial Temporal to Middle Cerebral Artery Anastomosis: Clinical Outcome in Patients with Ischemia of Infarction in Internal Carotid Artery Distribution

Myoung C. Lee, James I. Ausman, Jonathan D. Geiger, Richard E. Latchaw, Arthur C. Klassen, Shelley N. Chou, Joseph A. Resch

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22 Scopus citations


The clinical outcome of our first 40 patients (six with transient ischemic attacks, 22 with mild ischemic infarctions, and 12 with moderate ischemic infarctions) treated with a superficial temporal artery-middle cerebral artery anastomosis was analyzed. All cerebral ischemias or infarctions occurred in the internal carotid artery distribution. An independent neurologist observer recorded the patient's preoperative and postoperative medical and neurological histories and objective neurological findings. There was no operative mortality. During the period of observation (up to 36 months), four patients died of probable myocardial infarction. No patient suffered from recurrent cerebral infarction. Three patients experienced a single ischemic event postoperatively. Neurological deficits were either unchanged (21 patients) or improved (19 patients). Postoperative angiograms showed patency in 97% of the anastomoses.

Original languageEnglish (US)
Pages (from-to)1-4
Number of pages4
JournalArchives of Neurology
Issue number1
Publication statusPublished - Jan 1979


ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Clinical Neurology

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