Rabb C H
Colorado Neurological Institute, Swedish Medical Center, Englewood, Colorado, USA.
Neuroimaging Clin N Am. 1999 Aug;9(3):527-38.
Although the most dramatic recent advances in the treatment of stroke have been medical in nature, there still remains a role for surgery in selected patients with cerebrovascular ischemic disorders. Direct revascularization procedures, including carotid endarterectomy and extracranial-intracranial bypass, remain important tools for the vascular neurosurgeon. Lastly, decompressive hemicraniectomy is being increasingly performed in patients with massive nondominant infarcts, as a means of salvaging individuals who otherwise would succumb to herniation. This article addresses the current indications, techniques, and results of the aforementioned techniques for the surgical treatment of ischemic stroke.
尽管近期中风治疗方面最显著的进展本质上是医学上的，但对于某些患有脑血管缺血性疾病的患者，手术仍有其作用。直接血运重建手术，包括颈动脉内膜切除术和颅外-颅内搭桥术，仍然是血管神经外科医生的重要工具。最后，对于大面积非优势半球梗死的患者，减压性颅骨切除术的实施越来越多，作为挽救那些否则会因脑疝而死亡的患者的一种手段。本文探讨了上述缺血性中风手术治疗技术的当前适应证、技术和结果。
