case_images: PMC6775199_01
case_images: As an example we report the case of a 66-year-old man with extensive MCA stroke. (A) Preoperative CT-scan after clinical deterioration showing trend toward transtentorial herniation and severe midline shift; (B) immediate postoperative CT-scan showing removal of antero-basal portion of right temporal lobe, cisternotomy with extensive CSF drain and relaxation of both hemispheres with bilateral frontal air level; normally after this procedure the midline shift remain evident despite the patient shows clinical improvement: this aspect should be considered in postoperative course; (C) CT-scan on day 15th showing progressive resolution of edema and mass effect; no signs of hydrocephalus are evident. The patient recovered to mRS 3.
case_images: fneur-10-01017-g0002.jpg
case_images: PMC6775199_01_fneur-10-01017-g0002.jpg
case_images: F2
case_images: Figure 2 shows an example of strokectomy in a right MCA stroke.