Surgery of Cerebral Ischemia: State of the Art for the Supratentorial Region

Internal carotid or middle cerebral artery abrupt blockage results in severe brain edoema and a cancerous, frequently deadly condition. The purpose of this paper is to explore the function of surgical indication in these patients and to evaluate the current understanding of such a severe illness. Decompressive hemicraniectomy is still a viable treatment when done at the right time in carefully chosen individuals because it increases overall survival and has a chance of reducing parenchymal damage surrounding the ischemic core.

Author(s) Details:

Gabriele Ronchetti,
Ospedale San Giovanni Bosco, ASL Città di Torino, Italy.

Pier Paolo Panciani,
Spedali Civili di Brescia, University of Brescia, Italy.

Roberto Stefini,
Neurosurgery Department, ASST Ovest Milanese, Legnano Hospital, Italy.

Giannantonio Spena,
Neurosurgery Department, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.

Marco Maria Fontanella,
Neurosurgery Department, Spedali Civili di Brescia, University of Brescia, Italy.

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Keywords: Cerebral infarction, middle cerebral artery occlusion, decompressive hemicraniectomy, ischemic stroke, vascular neurosurgery

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