Arterial reconstruction was done in 130 patients with multiple sites of extracranial cerebral artery occlusion. Operative mortality was 2.3%; total mortality of the operative series was 3.8%. Presenting ocular signs and symptoms, other than diplopia and blurred vision, were essentially unchanged. Paralytic symptoms reverted in 80% of patients. Speech disturbances were relieved in 78% of patients. Attitude, gait, and ataxia returned to normal in 88% of patients. Nystagmus was improved in 76% of patients. Arterial reconstruction of blood flow of multiple sites of cerebral vascular insufficiency carries an acceptable operative mortality and results in a satisfactory reversal of preoperative neurological signs and symptoms.
- © 1966 American Heart Association, Inc.