Detection of cerebral hypoperfusion during trial carotid occlusion with reversal following extracranial-intracranial bypass prior to permanent occlusion

B. S. Walker, D. Mathews, H. Batjer, B. C. Allen, P. D. Purdy

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

The authors describe a patient with a large intracavernous aneurysm of the right internal carotid artery and a marked decrease in focal brain blood flow induced by temporary carotid balloon occlusion. The patient subsequently underwent a superficial temporal to middle cerebral artery bypass followed by successful carotid occlusion using detachable balloons placed proximal to the aneurysm. Postoperative rCBF demonstrated normal perfusion in the region of the right internal carotid artery distribution as well as normalization of perfusion to a previous area of baseline perfusion abnormality. Cerebral brain blood flow imaging was useful in the initial evaluation as well as the management of this patient.

Original languageEnglish (US)
Pages (from-to)499-503
Number of pages5
JournalClinical Nuclear Medicine
Volume19
Issue number6
DOIs
StatePublished - Jun 24 1994

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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