MR ve anjiyografi yapılmayan kırsal kesimde akut iskemik inmede yüzeyel temporal arter ve orta serebral arter bypass ile dramatik iyileşme

Year 2024, Volume: 49 Issue: 4, 1095 - 1097, 30.12.2024

Taha Eser , Aşkın Esen Hastürk

https://doi.org/10.17826/cumj.1432521

Abstract

İnme, önemli bir mortalite ve morbidite nedenidir. En iyi tedavi yöntemi, inme semptomları olan hastaların erken teşhis edilmesi, farklı nörogörüntüleme tekniklerinin doğru yorumlanması ve reperfüzyon tedavisinin derhal sağlanmasıdır. Geleneksel tedavilerin yanı sıra, yüzeyel temporal arter-orta serebral arter (STA-MCA) baypası, akut iskemik inme için iyi sonuçlar veren ve serebral perfüzyon ve nörolojik durumda erken iyileşme sağlayan bir tedavi yöntemi olarak düşünülmelidir. Bu vakada, klinik olarak MCA enfarktüsü tanısı konulan bir hastada, semptomların başlamasından 45 dakika sonra erken STA-MCA bypassı hızlı nörolojik iyileşme ile sonuçlanmış ve kontrastlı bilgisayarlı tomografi anastomozun çalıştığını göstermiştir.

Keywords

İnme, bypass, tedavi

Dramatic improvement with superficial temporal artery and middle cerebral artery bypass in acute ischemic stroke in a rural area without MRI and angiography

Abstract

Stroke is a major cause of mortality and morbidity. The best therapeutic modality is the early identification of patients with stroke symptoms, correct interpretation of different neuroimaging techniques, and immediate provision of reperfusion therapy. Apart from conventional treatments, superficial temporal artery-middle cerebral artery (STA-MCA) bypass should be considered a treatment modality for acute ischemic stroke, with good results and early improvement in cerebral perfusion and neurological status. In the present case, in a patient clinically diagnosed with MCA infarction, early STA-MCA bypass 45 min after symptom onset resulted in rapid neurological recovery, and contrast-enhanced computed tomography showed that the anastomosis was functioning.

Keywords

Stroke, bypass, treatment

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