The Role of Neurosurgical Techniques in Management of Acute and Chronic Stroke: A Comprehensive Literature Review.

Autor:	Antoniadis Y; Department of Medicine, St. George's University School of Medicine, Saint George, GRD., Khan SA; Department of Surgery, Liaquat College of Medicine and Dentistry, Karachi, PAK., Nallamotu S; Department of Surgery, Kasturba Medical College of Manipal, Manipal, IND.; Department of General Surgery, Murrieta Valley Surgery Associates, Wildomar, USA., Ranganatha A; Department of Surgery, Jagadguru Jayadeva Murugarajendra Medical College, Davangere, IND., Ferrer JES; Faculty of Medicine and Surgery, University of Santo Tomas, Manila, PHL., Gautam G; Department of Internal Medicine, Georgian National University SEU, Tbilisi, GEO., Todras J; Department of Biology, Suffolk County Community College, New York, USA., Campbell R; Department of Internal Medicine, St. George's University, Saint George, GRD., Chelluri S; Department of Surgery, Rajiv Gandhi Institute of Medical Sciences, Telangana, IND., Parvathaneni NM; Department of Surgery, International Higher School of Medicine, Bishkek, KGZ.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Jul 29; Vol. 16 (7), pp. e65671. Date of Electronic Publication: 2024 Jul 29 (Print Publication: 2024).
DOI:	10.7759/cureus.65671
Abstrakt:	Stroke is a medical condition that results from a decreased or completely diminished supply of blood to the brain, and it is considered one of the major causes of morbidity and mortality globally. Stroke is categorized as ischemic and hemorrhagic stroke, both of which demand prompt and particular timely intervention. This extensive review is done to investigate the precise management of acute and chronic manifestations of stroke in relation to neurosurgical interventions, ultimately providing a thorough analysis regarding indications, procedures, outcomes, and complications that are associated with it. In this regard, a pervasive review of literature was carried out, which was primarily sourced from literature databases such as PubMed. This paper particularly outlines a sound relative analysis of anticipating the competence of each neurosurgical technique in use. Endovascular clot retrieval (ECR) has been particularly highlighted, as its effectiveness has been profoundly observed when selected as a treatment option within a time period of 6-24 hours following an ischemic stroke. In less than a time frame of 48 hours, decompressive hemicraniectomy (DH) is usually considered the most suitable treatment for cases of intracranial hypertension resulting from middle cerebral artery (MCA) infarction. Hemorrhages that occur due to ruptured aneurysms are most commonly dealt with clipping and neuroendovascular techniques. Additionally, considering that revascularization surgery is time-sensitive, the results can ultimately vary. Competent results have been linked with stereotactic surgery, which includes deep brain stimulation (DBS) and focused ultrasound ablation (FUSA), which are also famous for being minimally invasive in nature. However, the broader application of these techniques is hindered by the absence of established protocols. This review highlights the importance of timely interventions, advanced equipment, and precise medical protocols to optimize treatment outcomes. Competing Interests: Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Antoniadis et al.)
Databáze:	MEDLINE
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