The ischaemic stroke of the territory of the middle cerebral artery represents an event burdened by high mortality and severe morbidity. The proposed medical treatments do not always prove effective. Decompressive craniectomy allows the ischaemic tissue to shift through the surgical defect rather than to the unaffected regions of the brain, thus avoiding secondary damage due to increased intracranial pressure. In this study, we propose a novel treatment for these patients characterised by surgical fenestration of the cisterns of the skull base.

Cisternostomy for malignant middle cerebral artery infarction: proposed pathophysiological mechanisms and preliminary results

Cardali, Salvatore Massimiliano
Conceptualization
;
Caffo, Maria
Writing – Original Draft Preparation
;
Scalia, Gianluca
Validation
;
Gorgoglione, Nicola
Data Curation
;
Conti, Alfredo
Membro del Collaboration Group
;
Vinci, Sergio Lucio
Membro del Collaboration Group
;
Barresi, Valeria
Validation
;
Granata, Francesca
Membro del Collaboration Group
;
Ricciardo, Giuseppe
Membro del Collaboration Group
;
Garufi, Giada;Raffa, Giovanni;Germanò, Antonino
2022

Abstract

The ischaemic stroke of the territory of the middle cerebral artery represents an event burdened by high mortality and severe morbidity. The proposed medical treatments do not always prove effective. Decompressive craniectomy allows the ischaemic tissue to shift through the surgical defect rather than to the unaffected regions of the brain, thus avoiding secondary damage due to increased intracranial pressure. In this study, we propose a novel treatment for these patients characterised by surgical fenestration of the cisterns of the skull base.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11570/3234858
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