FIELD: medicine; neurosurgery.
SUBSTANCE: incision is made above a projection of an anterior horn of a lateral ventricle contralateral to the side of a stroke, after which a milling hole is made in a Kocher point. Dura mater is opened crosswise. Portion of the cerebral cortex is coagulated. External CSF drainage is performed. That is ensured by placing a ventricular drainage in the anterior horn of the lateral ventricle; the cerebrospinal fluid is discharged at level of 12 cm above the Monroe foramen. Skin incision is closed. After the intracranial pressure is normalized, the ventricular drain is removed.
EFFECT: method enables performing the surgical management of malignant ischemic stroke in territory of middle cerebral artery in patients with contraindications to decompression hemicraniectomy.
1 cl, 1 ex
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