Abstract
The effect of superficial temporal-middle cerebral artery (ST-MCA) bypass for enhancing cerebral circulation is controversial (1-3), and its prophylactic effect is questioned by the cooperative study (4). We studied a patient who had hemodynamically severe occlusive lesions of the left carotid artery, presenting with several transient ischemic attacks (TIAs) accompanied by dementia prior to the bypass surgery. After the bypass, he showed improved cortical flow, cognitive ability, and disappearance of neurological deficits.
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