PERFORMING EMERGENCY MICROSURGICAL BYPASS IN A PATIENT WITH VASOSPASM AND CEREBRAL ISCHEMIA AFTER THE RUPTURE OF CEREBRAL ANEURYSM
The emergency extra-intracranial bypass between the middle cerebral artery and the branch of the superficial temporal artery was performed in the patient with proven angiospasm after the aneurysm rupture. The postoperative analysis of the neurologic status, transcranial Doppler and CT perfusion data showed the regression of angiospasm and improvement of peripheral blood flow, followed by restoring of perfusion of the affected hemisphere. Thus, the use of extra-intracranial bypass in patients with non-traumatic subarachnoid hemorrhage and angiographically proven spasm may be promising in the prevention and treatment of ischemic changes and related perfusion deficit, aimed at protecting and maintaining the cerebrovascular reserve.