Advertisement

Revascularization of the Brain Stem and Posterior Fossa

  • R. F. Spetzler
  • M. N. Hadley

Abstract

Refined microneurosurgical techniques, sophisticated neurophysiologic monitoring and contemporary neuroanesthetic practices have greatly contributed to the advancement of neurovascular surgery. Revascularization of the cerebral hemispheres with extracranial to intracranial (EC-IC) bypass has long been possible. The concept of surgically treatable brain stem ischemia has gained increased attention in recent years; and technically more difficult posterior fossa EC-IC microvascular anastomoses have become feasible [1–3, 10, 13, 18].

Keywords

Vertebral Artery Aseptic Meningitis Occipital Artery Vertebrobasilar Insufficiency Intracranial Vertebral Artery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Allen GS, Cohen RJ, Preziosi TJ (1981) Microsurgical endarterectomy of the intracranial vertebral artery for vertebrobasilar transient ischemic attacks. Neurosurgery 8: 56–59PubMedCrossRefGoogle Scholar
  2. 2.
    Ausman JI, Diaz FG, de los Reyes RA, Pak H, Patel S, Boulos R (1981) Anastomosis of occipital artery to anterior inferior cerebellar artery for vertebrobasilar junction stenosis. Surg Neurol 16: 99–102PubMedCrossRefGoogle Scholar
  3. 3.
    Ausman JI, Diaz FG, de los Reyes RA, Pak H, Patel S, Mehta B, Boulos R (1982) Posterior circulation revascularization. J Neurosurg 56: 766–776PubMedCrossRefGoogle Scholar
  4. 4.
    Camp PE (1984) Carotid to distal vertebral artery bypass for vertebrobasilar ischemia. J Neurosurg 60: 187–189PubMedCrossRefGoogle Scholar
  5. 5.
    Caplan LR (1981) Current concepts of cerebrovascular disease- stroke. Vertebrobasilar disease- time for a new strategy. Stroke 12: 111–114PubMedCrossRefGoogle Scholar
  6. 6.
    Cartlidge NEF, Whisnant JP, Elveback LR (1977) Carotid and vertebral-basilar transient cerebral ischemic attacks. A community study, Rochester Minnesota. Mayo Clin Proc 52: 117–120PubMedGoogle Scholar
  7. 7.
    Castaigne P, Lhermitte F, Gautier JC, Escourolle R, Derouesne C, Der Agopian P, Popa C (1973) Arterial occlusions in the vertebro-basilar system: A study of 44 patients with postmortem data. Brain 96: 133–154PubMedCrossRefGoogle Scholar
  8. 8.
    Fisher CM (1977) Occlusion of the vertebral arteries. Arch Neurol 22: 13–19CrossRefGoogle Scholar
  9. 9.
    George B, Laurian C (1980) Surgical approach to the whole length of the vertebral artery with special reference to the third portion. Acta Neurochir (Wien) 51: 259–272CrossRefGoogle Scholar
  10. 10.
    Hadley MN, Masferrer R, Zabramski JM, Spetzler RF (1985) Management of vertebrobasilar insufficiency. In: Spetzler RF, Selman WR, Carter LP, Martin NA (eds) Cerebral Revascularization for Stroke. Thieme-Stratton, New York, pp 475–482Google Scholar
  11. 11.
    Hadley MN, Spetzler RF, Masferrer R, Martin NA, Carter LP (1985) Occipital artery to extradural vertebral artery bypass: A case report. J Neurosurg (in press)Google Scholar
  12. 12.
    Hopkins LN, Budny JL (1985) A rational surgical approach to vertebrobasilar ischemia. In: Spetzler RF, Selman R, Carter LP, Martin NA (eds) Cerebral Revascularization for Stroke. Thieme-Stratton, New York, pp 490–504Google Scholar
  13. 13.
    Hopkins LN, Budny JL, Spetzler RF (1982) Revascularization of the rostral brain stem. Neurosurgery 10: 364–369PubMedCrossRefGoogle Scholar
  14. 14.
    Mapstone T, Spetzler RF (1982) Vertebrobasilar insufficiency secondary to vertebral artery occlusion from a fibrous band. J Neurosurg 56: 581–583PubMedCrossRefGoogle Scholar
  15. 15.
    Nagashima C (1970) Surgical treatment of vertebral artery insufficiency caused by cervical spondylosis. J Neurosurg 32: 512–521PubMedCrossRefGoogle Scholar
  16. 16.
    Naritomi H, Sakai F, Meyer JS (1979) Pathogenesis of transient ischemic attacks within the vertebrobasilar arterial system. Arch Neurol 36: 121–128PubMedCrossRefGoogle Scholar
  17. 17.
    Raudzens PA, Spetzler RF, Carter LP, Wilkinson E (1985) Cerebral electrical activity during low flow states. In: Spetzler RF, Selman WR, Carter LP, Martin NA (eds) Cerebral Revascularization for Stroke. Thieme-Stratton, New York, pp 189–196Google Scholar
  18. 18.
    Roski RA, Spetzler RF, Hopkins LN (1982) Occipital artery to posterior inferior cerebellar artery bypass for vertebrobasilar ischemia. Neurosurgery 10: 44–49PubMedCrossRefGoogle Scholar
  19. 19.
    Spetzler RF, Selman WR, Roski RA, Bonstelle C (1982) Cerebral revascularization during barbiturate coma in primates and man. Surg Neurol 17: 111–115PubMedCrossRefGoogle Scholar
  20. 20.
    Whisnant JP, Cartlidge NEF, Elveback LR (1978) Carotid and vertebral-basilar transient ischemic attacks: Effect of anticoagulants, hypertension, and cardiac disorders on survival and stroke occurrence- a population study. Ann Neurol 3: 107–115PubMedCrossRefGoogle Scholar
  21. 21.
    Wilkinson E, Spetzler RF, Carter LP, Raudzens PA (1985) Intraoperative barbiturate therapy during temporary vessel occlusion in man. In: Spetzler RF, Selman WR, Carter LP, Martin NA (eds) Cerebral Revascularization for Stroke. Thieme-Stratton, New York, pp 397–402Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • R. F. Spetzler
    • 1
  • M. N. Hadley
    • 1
  1. 1.PhoenixUSA

Personalised recommendations