Case Report

STA-MCA Bypass as a “Bridge” to Pituitary Surgery in a Patient with an Adenoma Occluding the Internal Carotid Artery: Case Report and Review of the Literature

Table 1

Literature review.

Author (year)ICA-related symptomsTreatmentOutcome

Schnitker and Lehnert (1952) [3]StrokeConservative careDeath
Sakalas et al. (1973) [4]No ischemic symptomsOpen surgery in the acute phaseGood recovery
Rosenbaum et al. (1977) [5]StrokeOpen surgery in the acute phaseDeath
Bernstein et al. (1984) [6]Confusion, hemiparesisTranssphenoidal surgery in the acute phaseGood recovery
Clark et al. (1987) [7]StrokeConservative careSevere disability
Lath and Rajshekhar (2001) [8]StrokeTranssphenoidal surgery in the acute phaseDeath
Yang et al. (2008) [2]StrokeTranssphenoidal surgery in the acute phase (4 days)Good recovery
Chokyu et al. (2011) [1]StrokeDelayed transsphenoidal surgeryDisability (hemiplegia)
Schnur and Clar (1989) [9]StrokeOpen surgery in the acute phaseGood recovery
Cavalcanti and Castro (1997) [10]StrokeOpen surgery in the acute phaseGood recovery
Yaghmai et al. (1996) [11]No ischemic symptomsTranssphenoidal surgery in the acute phaseGood recovery
El-Zammar and Akagami (2010) [12]StrokeOpen surgery in the acute phaseSevere disability
Spallone (1981) [13]StrokeConservative careSevere disability
Dogan et al. (2008) [14]StrokeOpen surgery in the acute phaseDeath
Present caseStroke, TIAsSTA-MCA bypass and delayed transsphenoidal surgeryGood recovery

TIA: transient ischemic attack; STA-MCA: superficial temporal artery to middle cerebral artery bypass.