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BioMed Research International
Volume 2014 (2014), Article ID 624126, 6 pages
Review Article

Acute Supratentorial Ischemic Stroke: When Surgery Is Mandatory

Department of Neuroscience, Neurosurgery Unit, University of Brescia, Piazzale Spedali Civili 1, 25100 Brescia, Italy

Received 26 September 2013; Revised 9 December 2013; Accepted 11 December 2013; Published 14 January 2014

Academic Editor: Eberval G. Figueiredo

Copyright © 2014 Gabriele Ronchetti et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Acute occlusion of middle cerebral artery (MCA) leads to severe brain swelling and to a malignant, often fatal syndrome. The authors summarize the current knowledge about such a condition and review the main surgical issues involved. Decompressive hemicraniectomy keeps being a valid option in accurately selected patients.