{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T12:40:23Z","timestamp":1681562423891},"reference-count":26,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2010,7]]},"abstract":"<jats:p>Tuberculosis-related vasculopathy and resulting ischemic events are a common finding after tuberculous meningitis (TBM) in children. The authors report on a case of recurring ischemic episodes that were refractory to repetitive endovascular procedures (transluminal angioplasty, stent insertion, in-stent vessel dilation). After failure of endovascular treatment, extracranial-intracranial (EC-IC) bypass surgery was performed to prevent further ischemia.<\/jats:p>\n<jats:p>This 5-year-old girl presented with a series of ischemic events in the left middle cerebral artery (MCA) territory 12 months after her presentation with TBM. Angiography studies showed a 50% lumen reduction of the left MCA. After failure of antithrombocyte aggregation and repeated endovascular procedures to prevent new ischemia, EC-IC bypass surgery was performed. The left superficial temporal artery\u2013MCA bypass was found to be capable of preventing new ischemic events in the 21-month follow-up period, despite a near-total MCA occlusion on follow-up conventional and MR angiography studies. Bypass surgery seems to be a reliable tool to augment cerebral blood flow in tuberculosis-related stenoocclusive changes of cerebral vasculature after the failure of endovascular procedures.<\/jats:p>","DOI":"10.3171\/2010.4.peds09411","type":"journal-article","created":{"date-parts":[[2010,7,1]],"date-time":"2010-07-01T14:03:48Z","timestamp":1277993028000},"page":"69-72","source":"Crossref","is-referenced-by-count":4,"title":["Prevention of secondary ischemic events by superficial temporal artery\u2013middle cerebral artery bypass surgery after tuberculosis-induced vasculopathy in a 5-year-old child"],"prefix":"10.3171","volume":"6","author":[{"given":"Martin","family":"Misch","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrich-Wilhelm","family":"Thomale","sequence":"additional","affiliation":[{"name":"Pediatric Neurosurgery, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rolf","family":"Keitzer","sequence":"additional","affiliation":[{"name":"Pediatrics, Charit\u00e9 Campus Virchow, Medical University of Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Vajkoczy","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery,"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-0060069","series-title":"Pediatr Radiol","doi-asserted-by":"publisher","first-page":"1289","DOI":"10.1007\/s00247-006-0319-7","article-title":"Distribution of brain infarction in children with tuberculous meningitis and correlation with outcome score at 6 months","volume":"36","author":"Andronikou","year":"2006"},{"issue":"2","key":"b2-0060069","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E20","DOI":"10.3171\/FOC\/2008\/24\/2\/E20","article-title":"Flow-assisted surgical cerebral revascularization","volume":"24","author":"Ashley","year":"2008"},{"key":"b3-0060069","series-title":"Cerebrovasc Dis","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1159\/000085568","article-title":"Cerebral infarcts complicating tuberculous meningitis","volume":"19","author":"Chan","year":"2005"},{"key":"b4-0060069","series-title":"Neurol India","first-page":"86","article-title":"The brain and meninges in tuberculous meningitis-gross pathology in 100 cases and pathogenesis","volume":"18","author":"Dastur","year":"1970"},{"key":"b5-0060069","series-title":"N Engl J Med","doi-asserted-by":"publisher","first-page":"1191","DOI":"10.1056\/NEJM198511073131904","article-title":"Failure of extracranial-intracranial arterial bypass to reduce the risk of ischemic stroke. 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