CASE REPORT
Neurosurgery
doi: 10.25005/2074-0581-2024-26-1-144-151
EXTERNAL VENTRICULAR DRAINAGE FOR MALIGNANT ISCHEMIC STROKE: A CASE REPORT

S.M. SEHWEIL

Department of Neurology and Neurosurgery, Rostov State Medical University, Rostov-on-Don, Russian Federation

Malignant ischemic stroke (MIS) in the territory of the middle cerebral artery (MCA) is the most severe form of supratentorial ischemia. Its conservative therapy is accompanied by a high mortality rate, which may reach 80%. A more effective method of treatment is decompressive hemicraniectomy (DH). However, its implementation is limited by strict indications and several contraindications. In connection with the above, an urgent task is to find an effective method of treating this category of patients. The paper presents a clinical case of successful external ventricular drainage (EVD) in a patient with ischemia affecting the total left MCA territory.

Keywords: External ventricular drainage, malignant ischemic stroke, middle cerebral artery, cerebral edema, clinical case.

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References
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Authors' information:

Sehweil Salah Mohammed
Candidate of Medical Sciences, Associate Professor, Associate Professor of the Department of Neurology and Neurosurgery, Rostov State Medical University
Researcher ID: ABE-3405-2021
Scopus ID: 57226736867
ORCID ID: 0000-0003-3942-7442
SPIN: 2079-7476
Author ID: 646869
E-mail: salahsehweil@yandex.ru

Information about support in the form of grants, equipment, medications

The author did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Sehweil Salah Mohammed
Candidate of Medical Sciences, Associate Professor, Associate Professor of the Department of Neurology and Neurosurgery, Rostov State Medical University

344022, Russian Federation, Rostov-on-Don, 29 Nachichevansky Lane

Tel.: +7 (928) 1065686

E-mail: salahsehweil@yandex.ru

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