Skip to main content
SpringerLink
Log in

STA-MCA anastomosis in patients with skull base tumours involving the internal carotid artery—Haemodynamic assessment by ultrasonic Doppler flowmeter

  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

The role of superficial temporal artery -middle cerebral artery (STA-MCA) anastomosis was investigated with an ultrasonic Doppler flowmeter in 3 patients with sphenoid ridge meningiomas and one with a parasellar malignant teratoma, all of which involved the intracranial internal carotid artery. The intraoperative Doppler flow study revealed a remarkable increase in flow volume of the STA after trial occlusion of the middle cerebral artery in one case and permanent occlusion in two cases. These results substantiate the effectiveness of STA-MCA anastomosis. We also discuss surgical and other contrivances for obtaining sufficient blood supply from this bypass to prevent cerebral ischaemia in the acute phase after elective or accidental occlusion of a major cerebral artery. This is the first report of STA-MCA anastomosis in cases with brain tumour.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Gebier, B. R., Sundt, T. M., Treatment of intracavernous and giant aneurysms by combined internal carotid ligation and extra- to intracranial bypass. J. Neurosurg.52 (1980), 1–10.

    PubMed  Google Scholar 

  2. Diaz, E. G., Ausman, J. I., Pearce, J. E., Ischemic complications after combined internal carotid artery occlusion and extracranial-intracranial anastomosis. Neurosurgery10 (1982), 563–570.

    PubMed  Google Scholar 

  3. Hopkins, L. N., Grand, W., Extracranial-intracranial arterial bypass in the treatment of aneurysms of the carotid and middle cerebral arteries. Neurosurgery5 (1979), 21–31.

    PubMed  Google Scholar 

  4. Moritake, K., Handa, H., Yonekawa, Y., Nagata, I., Ultrasonic Doppler assessment of hemodynamics in superficial temporal artery-middle cerebral artery anastomosis. Surg. Neurol.13 (1980), 249–257.

    PubMed  Google Scholar 

  5. Moritake, K., Handa, H., Yonekawa, Y., Takebe, Y., Kishimoto, S., Makimoto, K., Ultrasonic Doppler assessment of hemodynamics in gradual carotid ligation. Stroke12 (1981), 177–182.

    PubMed  Google Scholar 

  6. Moritake, K., Handa, H., Yonekawa, Y., Taki, W., Takebe, Y., Konishi, T., Clinical and hemodynamic assessments of superficial temporal to middle cerebral artery bypass surgery in 10 patients with giant aneurysm of an internal carotid artery. In: Proc. 6th International Symposium on Microsurgical Anastomosis for Cerebral Ischemia (Handa, H.,et al., eds.). Tokyo: Igaku Shoin (in press).

  7. Story, J. L., Brown, W. E., Eidelberg, E., Arom, K. V., Stewart, J. R., Cerebral revascularization: Common carotid to distal middle cerebral artery bypass. Neurosurgery2 (1978), 131–135.

    PubMed  Google Scholar 

  8. Samson, D. S., Neuwelt, E. A., Beyer, C. W., Ditmore, Q. M., Failure of extracranial-intracranial arterial bypass in acute middle cerebral artery occlusion: Case report. Neurosurgery6 (1980), 185–188.

    PubMed  Google Scholar 

  9. Yaşargil, M. G., Yonekawa, Y., Results of microsurgical extra-intracranial arterial bypass in the treatment of cerebral ischemia. Neurosurgery1 (1977), 22–24.

    PubMed  Google Scholar 

Download references

Author information

Author notes

  1. K. Moritake, H. Handa, J. Yamashita, J. Takeuchi, W. Taki, Y. Takebe & T. Konishi

    Present address: Department of Neurosurgery, Kyoto University Hospital, Japan

Authors and Affiliations

    Authors
    1. K. Moritake
      View author publications

      You can also search for this author in PubMed Google Scholar

    2. H. Handa
      View author publications

      You can also search for this author in PubMed Google Scholar

    3. J. Yamashita
      View author publications

      You can also search for this author in PubMed Google Scholar

    4. J. Takeuchi
      View author publications

      You can also search for this author in PubMed Google Scholar

    5. W. Taki
      View author publications

      You can also search for this author in PubMed Google Scholar

    6. Y. Takebe
      View author publications

      You can also search for this author in PubMed Google Scholar

    7. T. Konishi
      View author publications

      You can also search for this author in PubMed Google Scholar

    Rights and permissions

    Reprints and permissions

    About this article

    Cite this article

    Moritake, K., Handa, H., Yamashita, J. et al. STA-MCA anastomosis in patients with skull base tumours involving the internal carotid artery—Haemodynamic assessment by ultrasonic Doppler flowmeter. Acta neurochir 72, 95–110 (1984). https://doi.org/10.1007/BF01406817

    Download citation

    • Issue Date:

    • DOI: https://doi.org/10.1007/BF01406817

    Keywords

    Search

    Navigation