Abstract
Rapid reversal of cognitive deficits with high-flow extracranial – Intracranial bypass in cerebral misery perfusion syndrome
Highlights
A 51- yr old Caucasian man who ran a successful plumbing business was admitted with sudden left hemiparesis and confusion
There was impairment with sequencing of tasks, working memory, and higher executive function. His hemiparesis resolved quickly but the cognitive deficits subsequently resulted in loss of his business and a massive financial debt accumulation
Cerebral misery perfusion’ (CMP) is associated with decreased cerebral perfusion pressures in complete carotid artery occlusion, extracranial and intracranial atheromatous diseases, and Moyamoya disease [2]
Summary
A 51- yr old Caucasian man who ran a successful plumbing business was admitted with sudden left hemiparesis and confusion. There was impairment with sequencing of tasks, working memory, and higher executive function His hemiparesis resolved quickly but the cognitive deficits subsequently resulted in loss of his business and a massive financial debt accumulation. On review at 6 months, 1 year and 2 years the improvement in all domains of physical ability and cognition was sustained. He repaid his financial loans and restarted a successful business. His social skills, memory, interactions with family and colleagues, became normal once again. Memory, interactions with family and colleagues, became normal once again The patient and his family were extremely satisfied with the results of the surgery (Figure 3)
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