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

Authors

  • 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.

DOI:

https://doi.org/10.9734/bpi/cimms/v4/3610A

Keywords:

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

Abstract

The acute occlusion of the internal carotid or middle cerebral arteries leads to a severe brain swelling and to a malignant, often fatal syndrome. The aim of this paper is to assess the current knowledge about such a dramatic condition and to review the role of surgical indication in these patients. Decompressive hemicraniectomy keeps being a valid option, with proper timing in accurately selected patients, because entails a higher overall survival with a chance to also reduce the amount of parenchymal damage around the ischemic core.

Published

2022-10-08

How to Cite

Gabriele Ronchetti, Pier Paolo Panciani, Roberto Stefini, Giannantonio Spena, & Marco Maria Fontanella. (2022). Surgery of Cerebral Ischemia: State of the Art for the Supratentorial Region. Current Innovations in Medicine and Medical Science Vol. 4, 52–67. https://doi.org/10.9734/bpi/cimms/v4/3610A

Issue

Current Innovations in Medicine and Medical Science Vol. 4

Section

Chapters