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Author Spotlight: Assessing Ischemic Stroke Damage Through Middle Cerebral Artery Occlusion Model
Published on: August 11, 2023
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Transient ischemic attack and minor stroke as "surgeons affairs": a narrative review
S Caproni1, P Ottavi2, V Borghetti3
1Neurology and Stroke Unit, Neuroscience Department, "S. Maria" University Hospital, via Tristano di Joannuccio 1, 05100, Terni, Italy. s.caproni@aospterni.it.
Summary
Surgical treatment for specific transient ischemic attacks (TIA) and minor strokes (mS) is crucial for preventing major complications. A multidisciplinary approach ensures optimized management and timely intervention for these urgent vascular events.
Area of Science:
- Neurology
- Vascular Surgery
- Neurosurgery
Background:
- Transient ischemic attack (TIA) and minor stroke (mS) can necessitate surgical intervention.
- Early recognition and management are key to preventing severe outcomes.
Purpose of the Study:
- To review surgical treatment options for TIA and mS subtypes.
- To emphasize the importance and timing of a multidisciplinary approach.
Main Methods:
- Literature search using keywords: TIA, minor stroke, surgical treatment, vascular surgery, heart surgery, neurosurgery, multidisciplinary.
- MEDLINE, EMBASE, and Scopus databases were utilized.
- Relevant studies were discussed for inclusion.
Main Results:
- Symptomatic carotid stenosis and hemodynamic events benefit from early surgical revascularization.
- Cardioembolic events (endocarditis, atrial myxoma) require prompt cardiac surgery.
- Vertebrobasilar TIA/mS may require surgical artery decompression (e.g., Bow Hunter disease).
Conclusions:
- TIA and mS management requires a multidisciplinary team.
- Therapeutic options, risks, benefits, and timing must be carefully considered.
- Optimized management prevents major strokes and complications.
