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How I do it: decompressive hemicraniectomy supplemented with resection of the temporal pole and tentoriotomy for malignant ischemic infarction in the territory supplied by the middle cerebral artery

Acta neurochirurgica, 2022-06, Vol.164 (6), p.1653-1657 [Peer Reviewed Journal]

The Author(s) 2022 ;2022. The Author(s). ;The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;ISSN: 0942-0940 ;ISSN: 0001-6268 ;EISSN: 0942-0940 ;DOI: 10.1007/s00701-022-05152-7 ;PMID: 35171374

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Title:
How I do it: decompressive hemicraniectomy supplemented with resection of the temporal pole and tentoriotomy for malignant ischemic infarction in the territory supplied by the middle cerebral artery
Author: Sehweil, Salah M. M. ; Goncharova, Zoya Alexandrovna
Subjects: Cerebral hemispheres ; Cerebral infarction ; Decompressive Craniectomy - methods ; Edema ; How I Do it - Vascular Neurosurgery - Ischemia ; Humans ; Infarction, Middle Cerebral Artery - surgery ; Interventional Radiology ; Ischemia ; Ischemic Stroke ; Lethality ; Medicine ; Medicine & Public Health ; Middle Cerebral Artery - surgery ; Minimally Invasive Surgery ; Neurology ; Neuroradiology ; Neurosurgery ; Skull ; Stroke ; Surgical Orthopedics ; Temporal Lobe - surgery ; Treatment Outcome ; Vascular Neurosurgery - Ischemia ; Veins & arteries
Is Part Of: Acta neurochirurgica, 2022-06, Vol.164 (6), p.1653-1657
Description: Malignant ischemic infarction in the territory supplied by the middle cerebral artery is an extremely severe form of ischemic stroke associated with development of massive uncontrollable postischemic edema of the affected cerebral hemisphere; the end result of which is development of transtentorial herniation and death. Method The surgical technique of performance of decompressive hemicraniectomy involves removal of an extensive bone flap in the fronto-temporo-parieto-occipital zone with resection of the temporal squama and of the greater wing of the sphenoid bone to visualize the level of entrance of the middle meningeal artery to the cranial cavity, which, in its turn, allows resection of the upright margin of the middle cranial fossa. Decompressive hemicraniectomy is supplemented with resection of the temporal pole and tentoriotomy. Conclusion Performance of decompressive hemicraniectomy in combination with resection of the resection of the temporal pole and tentoriotomy is an effective surgical method of treatment of malignant ischemic stroke in the territory supplied by the middle cerebral artery, capable of reducing the lethality rate during the postoperative period.
Publisher: Vienna: Springer Vienna
Language: English
Identifier: ISSN: 0942-0940
ISSN: 0001-6268
EISSN: 0942-0940
DOI: 10.1007/s00701-022-05152-7
PMID: 35171374
Source: MEDLINE
SpringerOpen(OpenAccess)
ProQuest Central

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How I do it: decompressive hemicraniectomy supplemented with resection of the temporal pole and tentoriotomy for malignant ischemic infarction in the territory supplied by the middle cerebral artery

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