Neurological improvement in chronic ischemic stroke following surgical brain revascularization

G. F. Rossi, G. Maira, A. Vignati, A. Puca

Research output: Contribution to journalArticle

Abstract

50 patients suffering from completed ischemic stroke in the carotid territory for at least two months (17 mild, 31 moderate, 2 severe strokes) underwent extra-intracranial arterial bypass surgery. Neurological improvement was obtained in 43 cases; it persisted in time in 40 cases. Quantitative evaluation of motor performance in 21 patients showed that the degree of improvement was highly significant. Several factors strongly indicate a causal relation between surgical revascularization and neurological restoration. The positive surgical result is striclty dependent on correct patient selection and, in particular: i) on the documentation of local hemodynamic insufficiency; ii) on the occurrence of transient neurological (and to a certain extent EEG) improvement following hyperbaric oxygenation. The latter can also provide reliable information on the minimum degree of improvement to be expected from surgery.

Original languageEnglish
Pages (from-to)465-475
Number of pages11
JournalItalian Journal of Neurological Sciences
Volume8
Issue number5
DOIs
Publication statusPublished - Oct 1987

Keywords

  • Chronic stroke
  • surgery of stroke
  • surgical brain revascularization

ASJC Scopus subject areas

  • Neuroscience(all)
  • Clinical Neurology

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