In pediatric ischemic patients, direct intracranial and extracranial vascular bypass surgery can significantly reduce transient ischemic attack (TIA) and improve reversible neurological deficits. However, in younger children, due to the small diameter of the superficial temporal artery, indirect bypass surgery can sometimes be performed with good results, but is often worse than direct bypass surgery. If two or more types of indirect bypass surgery are combined appropriately, the results can be improved. Long-term clinical observation shows that for pediatric patients who are mostly ischemic, the combination of direct bloodstream reconstructive surgery (superficial temporal artery-middle cerebral artery anastomosis) with cerebral temporal muscle patching (EMS)
The therapeutic effect of EMS is very significant. However, in children who have already had a cerebral infarction, the effect of the procedure is not obvious due to the progressive increase of brain atrophy, which can eventually lead to
The effect of surgery is not obvious due to the progressive worsening of brain atrophy, which can eventually lead to mental decline. Therefore, early detection, early diagnosis and early treatment are necessary for children with ischemic symptoms.