A Case of Emergency Extracranial-Intracranial Arterial Bypass Surgery for Acute Symptomatic ICA Occlusion

The benefits of extracranial-Intracranial bypass surgery have not yet been proven, but recent studies have showed the beneficial effects in selected patients. We report a 52-year-old man who underwent an emergency EC-IC bypass surgery to prevent further progression of neurological deficits after acute ICA occlusion. After overcoming the concerns of the high surgical risk involved in acute ischemic stroke, this case shows that emergency bypass surgery may be helpful in highly select patients by improving hemodynamic compromise.

Isolated Trigeminal Sensory Change due to Lateral Pontine Hemorrhage Extending to the Trigeminal Nerve Root

No abstract available.

Recurrent Headache, Ophthalmoplegia, and Quadriparesis induced by Intracranial Hypertension

A 67-year-old man developed intermittent headaches, ophthalmoplegia, loss of consciousness, and hyporeflexic quadriparesis. An examination disclosed bilateral papilledema, constricted visual fields, and elevated intracranial pressure. All these symptoms were well correlated with intermittent high intracranial pressure which represented Lundberg A wave. Repeated lumbar punctures finally revealed metastatic malignant cells from lung cancer. Leptomeningeal metastasis may manifest with various constellations of symptoms.