Unexpected arterial recanalization after decompressive hemicraniectomy

Evguenia Vassileva1, Petar Stoyanov, Evgenii Vavrek

  • 1Department of Neurology at the University Hospital "Tsaritsa Yoanna-ISUL," Sofia, Bulgaria.

We report a 43-year-old patient with malignant embolic ischemic stroke in the right middle cerebral artery (MCA), treated by decompressive hemicraniectomy. Cerebrovascular ultrasound detected a subtotally occluding thrombus in the right internal carotid artery and a partial occlusion of the ipsilateral MCA. After the surgery, complete recanalization of the affected vessels was observed.

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