Abstract
Today, acute ischemic stroke is considered untreatable by many physicians. In ischemic stroke, the thinking goes, the die is cast long before therapy can be initiated. In fact, however, acute focal cerebral ischemia is a progressive process, and conversion to irreversibility appears to require some hours. It seems most rational to focus therapy upon this period when neurons are serially dying out. This rationale, which is supported by experimental(4,8) and clinical data, suggests that emergency superficial-temporal-artery—middle-cerebral-artery (STA-MCA) bypass(23,24) might alleviate some acute ischemic strokes.
Supported in part by Teacher-Investigator Award 5 KO7 11001-03, and Stroke Center Grant NS 10828-01A1 NSPA.
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Crowell, R.M. (1977). STA-MCA bypass for acute focal cerebral ischemia. In: Schmiedek, P., Gratzl, O., Spetzler, R.F. (eds) Microsurgery for Stroke. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-6349-4_34
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DOI: https://doi.org/10.1007/978-1-4612-6349-4_34
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