Review Article

Acute Supratentorial Ischemic Stroke: When Surgery Is Mandatory

Table 1

Summary of the main instrumental clues to detect ischemic patients at higher risk for a malignant supratentorial (MCA) infarction.

ExamResult

Plasmatic S100B protein dosage>1.03 mcg/L
CT scan/perfusion-CTArea compromised > 50% MCA territory
Extension to anterior or posterior territories
Perfusion drop > 66%
MRI/DWIIschemic area > 145 mL, even at early stages