Neurosurgical Management of strokes

Question 1

What causes Posterior Fossa strokes

Answer 1

1- cardiac emboli
2- arterial stenosis
3- intramural thrombosis
4- vertebral artery dissection

Question 2

What is the concern with Posterior fossa stroke

Answer 2

After stroke brain swells , and the posterior fossa is not large , therefore hydrocephalus can occur and raise in pressure.

Question 3

When do you treat hydrocephalus

Answer 3

If it improves their condition , if not then it is not necessary

Question 4

How can you deal with Supratentorial infarction

Answer 4

Nothing to do to improve brain function but as brain continues to swell , pressure increases .

Can cut piece of bone of to relieve pressure and allow brain to swell ( decompressive craniotomy