Emergency STA-MCA bypass surgery for symptomatic progressive ischemic strokeNaoki Otani aKojiro Wada bTerushige Toyooka bSatoru Takeuchi bKentaro Mori cTakamichi Katsuhara aRyota Kajimoto aAtsuo Yoshino aInterdisciplinary Neurosurgery
The imaging diagnosis of stroke caused by perioperative emboli is a challenging one. Computed tomography performed in the acute stages of ischemic stroke often is negative. MRI may be contraindicated because of a cardiac pacemaker or the patient’s clinical condition.CT signs of acute infarct ...
hemodynamics but exhibited right-sided weakness and global aphasia.Result: The patient was stable in hemodynamics and vital signs but had neurological complications, including right-sided weakness and global aphasia.Discussion: Post-PCI complications can include ischemic (0,1%) or hemorrhagic stroke (0...
Initial presentation included TIA/ischemic stroke in 80 patients, hemorrhagic stroke in 10, and asymptomatic in 3. Surgery was performed onto their 141 hemispheres. Follow-up MRI/MRA was performed with an interval of 6 or 12 months during follow-up periods. RESULTS. During follow-up periods, ...
Post-procedure cranial CT revealed an ischemic lesion in the region supplied by the left MCA, without signs of hemorrhagic transformation (ASPECTS 5). The patient was discharged after 15days to a rehabilitation facility with an NIHSS of 13 and an mRS score of 4. Endovascular treatment of ...