PMC6775199_01
As an example we report the case of a 66-year-old man with extensive MCA stroke. (A) Preoperative CT-scan after clinical deterioration showing trend toward transtentorial herniation and severe midline shift; (B) immediate postoperative CT-scan showing removal of antero-basal portion of right temporal lobe, cisternotomy with extensive CSF drain and relaxation of both hemispheres with bilateral frontal air level; normally after this procedure the midline shift remain evident despite the patient shows clinical improvement: this aspect should be considered in postoperative course; (C) CT-scan on day 15th showing progressive resolution of edema and mass effect; no signs of hydrocephalus are evident. The patient recovered to mRS 3.
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F2
Figure 2 shows an example of strokectomy in a right MCA stroke.