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March 20, 1978

Medical News

JAMA. 1978;239(12):1117-1125. doi:10.1001/jama.1978.03280390013002

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Rerouting the temporal artery may prevent more ischemic attacks  For patients who have suffered mild or severe strokes due to occlusion of the internal carotid artery, anastomosis of the superficial temporal artery to the middle carotid artery can lead to revascularization of the brain, with attendant substantial reduction in ischemic attacks and possible reversal of neurological deficits.These conclusions, based on results of a four-year clinical trial at the University of Minnesota Hospitals, were presented to the Third Joint Meeting on Stroke and Cerebral Circulation by assistant professor of neurosurgery James I. Ausman, MD.For the study of the effects of surgery, Dr Ausman and colleagues selected six patients with a history of transient ischemic attacks (TIA) and 34 who had suffered strokes with mild or moderate residual neurological deficits. Persons with severe neurological deficits such as global aphasia, dementia, or complete loss of ambulation were excluded from the