EXTERNAL VENTRICULAR DRAINAGE FOR MALIGNANT ISCHEMIC STROKE: A CASE REPORT

Abstract

Malignant ischemic stroke (MIS) in the territory of the middle cerebral artery (MCA) is the most severe form of supratentorial ischemia. Its conservative therapy is accompanied by a high mortality rate, which may reach 80%. A more effective method of treatment is decompressive hemicraniectomy (DH). However, its implementation is limited by strict indications and several contraindications. In connection with the above, an urgent task is to find an effective method of treating this category of patients. The paper presents a clinical case of successful external ventricular drainage (EVD) in a patient with ischemia affecting the total left MCA territory.

Keywords

• external ventricular drainage
• malignant ischemic stroke
• middle cerebral artery
• cerebral edema
• clinical case.