CAROTID "THROMBOSIS" AND "FIXED NEUROLOGICAL DEFICIT". TWO CASES SURGICALLY TREATED

Area of Science:

• Neurology
• Neurosurgery
• Vascular Surgery

Background:

• Chronic neurological deficits after stroke are often considered permanent.
• Intracranial disease and multiple vessel involvement complicate treatment decisions.
• Arteriographic examination is crucial but can be misinterpreted.

Purpose of the Study:

• To evaluate the potential for surgical amelioration of chronic neurological deficits.
• To assess the impact of surgical intervention on verbal communication and mental dexterity.
• To determine the role of arteriography and carotid artery exploration in treatment planning.

Main Methods:

• Review of cases with chronic neurological deficits and intracranial disease.
• Analysis of surgical outcomes, focusing on communication and cognitive function.
• Correlation of arteriographic findings with surgical exploration results.

Main Results:

• Surgical operations can improve chronic neurological deficits, including verbal and cognitive functions.
• Multiple vessel involvement can be an indication for surgical intervention.
• Exploration of occluded carotid arteries may reveal patent distal vessels, supporting surgical consideration.

Conclusions:

• Surgical intervention offers potential benefits for chronic neurological deficits, even with complex intracranial pathology.
• Accurate interpretation of arteriographic studies and surgical exploration are vital for optimal treatment of stroke patients.
• Operative intervention should be considered despite "fixed" deficits and extensive vascular disease.