title: Acute supratentorial ischemic stroke: when surgery is mandatory.
abstract: Acute occlusion of middle cerebral artery (MCA) leads to severe brain swelling and to a malignant, often fatal syndrome. The authors summarize the current knowledge about such a condition and review the main surgical issues involved. Decompressive hemicraniectomy keeps being a valid option in accurately selected patients.
authors: Department of Neuroscience, Neurosurgery Unit, University of Brescia, Piazzale Spedali Civili 1, 25100 Brescia, Italy.
authors: Gabriele
authors: 0000-0003-2659-9384
authors: G
authors: Ronchetti
authors: Department of Neuroscience, Neurosurgery Unit, University of Brescia, Piazzale Spedali Civili 1, 25100 Brescia, Italy.
authors: Pier Paolo
authors: PP
authors: Panciani
authors: Department of Neuroscience, Neurosurgery Unit, University of Brescia, Piazzale Spedali Civili 1, 25100 Brescia, Italy.
authors: Roberto
authors: R
authors: Stefini
authors: Department of Neuroscience, Neurosurgery Unit, University of Brescia, Piazzale Spedali Civili 1, 25100 Brescia, Italy.
authors: Giannantonio
authors: G
authors: Spena
authors: Department of Neuroscience, Neurosurgery Unit, University of Brescia, Piazzale Spedali Civili 1, 25100 Brescia, Italy.
authors: Marco Maria
authors: MM
authors: Fontanella
mesh_terms: D001929:Brain Edema / Q000601:surgery; D019299:Decompression, Surgical; D006801:Humans; D019635:Neurosurgical Procedures; D020521:Stroke / Q000601:surgery*