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Published in: Acta Neurochirurgica 1/2024

Open Access 01-12-2024 | Vasculitis | Case Report

Surgical and endovascular cerebral revascularization for cerebral vasculitis with inflammatory vessel stenosis: a case series

Authors: Simon Schieferdecker, Julian Caspers, Weiss Daniel, Jan Frederick Cornelius, Sajjad Muhammad

Published in: Acta Neurochirurgica | Issue 1/2024

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Abstract

Autoimmune vasculitides affect the cerebral vasculature significantly in a considerable number of cases. When immunosuppressive treatments fail to prevent stenosis in cerebral vessels, treatment options for affected patients become limited. In this case series, we present four cases of pharmacoresistant vasculitis with recurrent transient ischemic attacks (TIAs) or stroke successfully treated with either extracranial-intracranial (EC-IC) bypass surgery or endovascular stenting. Both rescue treatments were effective and safe in the selected cases. Our experience suggests that cases of pharmacoresistant cerebral vasculitis with recurrent stroke may benefit from rescue revascularization in combination with maximum medical management.
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Metadata
Title
Surgical and endovascular cerebral revascularization for cerebral vasculitis with inflammatory vessel stenosis: a case series
Authors
Simon Schieferdecker
Julian Caspers
Weiss Daniel
Jan Frederick Cornelius
Sajjad Muhammad
Publication date
01-12-2024
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 1/2024
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-024-06007-z

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