Unexpected arterial recanalization after decompressive hemicraniectomy

J Stroke Cerebrovasc Dis. 2013 Nov;22(8):e661-3. doi: 10.1016/j.jstrokecerebrovasdis.2013.05.023. Epub 2013 Jun 22.

Abstract

We report a 43-year-old patient with malignant embolic ischemic stroke in the right middle cerebral artery (MCA), treated by decompressive hemicraniectomy. Cerebrovascular ultrasound detected a subtotally occluding thrombus in the right internal carotid artery and a partial occlusion of the ipsilateral MCA. After the surgery, complete recanalization of the affected vessels was observed.

Keywords: Decompressive surgery; arterial recanalization; cerebrovascular ultrasound; middle cerebral artery; stroke.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Decompressive Craniectomy*
  • Echocardiography, Doppler, Color
  • Humans
  • Infarction, Middle Cerebral Artery / diagnosis
  • Infarction, Middle Cerebral Artery / surgery*
  • Male
  • Treatment Outcome
  • Ultrasonography, Doppler, Transcranial