{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T07:28:40Z","timestamp":1784014120282,"version":"3.55.0"},"reference-count":18,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1982,6]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 Eight patients were evaluated for severe vertebrobasilar insufficiency (VBI). There were five males and three females, with an average age of 60.2 years (range 42 to 67 years). Three were diabetic and five hypertensive, including two patients who had both diseases. Seven of the eight had ongoing episodes of VBI refractory to anticoagulant and\/or antiplatelet agents. Symptoms included two or more of the following in all patients: dizziness, diplopia, hemiparesis, hemihypesthesia, perioral numbness, bilateral visual blurring, dysarthria, and ataxia. Angiography revealed severe atherosclerotic stenosis of the proximal or midsection of the basilar artery in all patients.<\/jats:p>\n<jats:p content-type=\"fine-print\">A 10-cm segment of the anterior or posterior division of the superficial temporal artery (STA) was anastomosed to a proximal segment of the superior cerebellar artery (SCA) through a right subtemporal approach. Seven of eight (87%) postoperative angiograms demonstrated patency as evidenced by filling of the SCA and, in most cases, of the basilar artery. Six of the eight patients were improved or asymptomatic after the operation, one was unchanged, and one died. The average follow-up period was 14 months, with a range of 4 to 23 months. Transient morbidity included temporal lobe swelling in four patients and a subdural hematoma in one. Anastomosis of the STA to the SCA is a feasible therapeutic option in the patient with VBI secondary to stenosis of the proximal or midsection of the basilar artery.<\/jats:p>","DOI":"10.3171\/jns.1982.56.6.0766","type":"journal-article","created":{"date-parts":[[2009,5,8]],"date-time":"2009-05-08T16:13:51Z","timestamp":1241799231000},"page":"766-776","source":"Crossref","is-referenced-by-count":57,"title":["Posterior circulation revascularization"],"prefix":"10.3171","volume":"56","author":[{"given":"James I.","family":"Ausman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando G.","family":"Diaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. A.","family":"de los Reyes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hooshang","family":"Pak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suresh","family":"Patel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bharat","family":"Mehta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roushdy","family":"Boulos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1227\/00006123-198101000-00011","article-title":"Microsurgical endarterectomy of the intracranial vertebral artery for vertebrobasilar transient ischemic attacks.","volume":"8","author":"Allen","year":"1981"},{"key":"b2","series-title":"Surg Neurol","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1016\/0090-3019(81)90105-1","article-title":"Anastomosis of occipital artery to anterior inferior cerebellar artery for vertebrobasilar junction stenosis.","volume":"16","author":"Ausman","year":"1981"},{"key":"b3","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1227\/00006123-198107000-00009","article-title":"Superficial temporal to proximal superior cerebellar artery anastomosis for basilar artery stenosis.","volume":"9","author":"Ausman","year":"1981"},{"key":"b4","series-title":"Minn Med","first-page":"223","article-title":"Stroke: what's new? Cerebral revascularization.","volume":"59","author":"Ausman","year":"1976"},{"key":"b5","series-title":"Q J Med","first-page":"279","article-title":"The syndrome of vertebrobasilar insufficiency.","volume":"32","author":"Bradshaw","year":"1963"},{"key":"b6","series-title":"Neurology","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1212\/WNL.30.1.72","article-title":"\u201cTop of the basilar\u201d syndrome.","volume":"30","author":"Caplan","year":"1980"},{"key":"b7","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1136\/jnnp.39.4.385","article-title":"Positional cerebral ischaemia.","volume":"39","author":"Caplan","year":"1976"},{"key":"b8","series-title":"Mayo Clin Proc","first-page":"117","article-title":"Carotid and vertebral-basilar transient cerebral ischemic attacks. A community study, Rochester, Minnesota.","volume":"52","author":"Cartlidge","year":"1977"},{"key":"b9","series-title":"Brain","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1093\/brain\/96.1.133","article-title":"Arterial occlusion in the vertebro-basilar system. A study of 44 patients with post-mortem data.","volume":"96","author":"Castaigne","year":"1973"},{"key":"b10","series-title":"Atherosclerosis","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1016\/0021-9150(80)90029-5","article-title":"Localization of atherosclerotic lesions in the human basilar artery.","volume":"35","author":"Cornhill","year":"1980"},{"key":"b11","series-title":"Neurology","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1212\/WNL.29.1.4","article-title":"Cerebral complications of angiography for transient ischemia and stroke: prediction of risk.","volume":"29","author":"Faught","year":"1979"},{"key":"b12","series-title":"Clin Neurosurg","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1093\/neurosurgery\/22.CN_suppl_1.117","article-title":"Clinical syndromes in cerebral thrombosis, hypertensive hemorrhage, and ruptured saccular aneurysm.","volume":"22","author":"Fisher","year":"1975"},{"key":"b13","series-title":"Stroke","doi-asserted-by":"publisher","first-page":"316","DOI":"10.1161\/01.STR.8.3.316","article-title":"Possible prevention of brain stem stroke by microvascular anastomosis in the vertebrobasilar system.","volume":"8","author":"Khodadad","year":"1977"},{"key":"b14","series-title":"Q J Med","first-page":"309","article-title":"The natural history of transient ischaemic cerebro-vascular attacks.","volume":"33","author":"Marshall","year":"1964"},{"key":"b15","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"563","DOI":"10.3171\/jns.1977.46.5.0563","article-title":"Microsurgical anatomy of the upper basilar artery and the posterior circle of Willis.","volume":"46","author":"Saeki","year":"1977"},{"key":"b16","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"916","DOI":"10.3171\/jns.1978.48.6.0916","article-title":"Occipital to posterior inferior cerebellar artery bypass surgery.","volume":"48","author":"Sundt","year":"1978"},{"key":"b17","series-title":"Acta Med Scand","first-page":"359","article-title":"The outcome of patients with transient ischemic attacks and stroke treated with anticoagulants.","volume":"208","author":"Ter\u00e9nt","year":"1980"},{"key":"b18","series-title":"Surgery","first-page":"221","article-title":"Microneurosurgical arterial reconstruction.","volume":"67","author":"Ya\u015fargil","year":"1970"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/56\/6\/article-p766.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/56\/6\/article-p766.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/56\/6\/article-p766.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,24]],"date-time":"2022-07-24T12:34:46Z","timestamp":1658666086000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/56\/6\/article-p766.xml"}},"subtitle":["Superficial temporal artery to superior cerebellar artery anastomosis"],"short-title":[],"issued":{"date-parts":[[1982,6]]},"references-count":18,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.3171\/jns.1982.56.6.0766","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1982,6]]}}}