Multidisciplinary Journal of Science and Technology

"METHODS OF TREATING STROKE SEQUELAE THROUGH MICROSURGERY"

Boboyorov Sardor

Master in Neurosurgery, Termez Branch of the Tashkent Medical Academy

Eshpulatov Jaloliddin

Master in Neurosurgery, Termez Branch of the Tashkent Medical Academy

Salimova Dilbar

Resident of Neurosurgery in Termez Branch of the Tashkent Medical Academy

Sherboyev Akram

Resident of Psychiatry in Termez Branch of the Tashkent Medical Academy

Keywords: Stroke, Microsurgery, Neurovascular Complications, Surgical Interventions, Stroke Sequelae, Neuroplasticity, Ischemic Stroke, Hemorrhagic Stroke

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Abstract

Stroke is a leading cause of long-term disability, often leaving patients with significant neurological sequelae. Traditional treatments aim to stabilize patients but often fail to reverse damage. Microsurgical techniques provide targeted, minimally invasive interventions that can potentially address persistent deficits. This review discusses the efficacy, safety, and mechanisms of microsurgical techniques in treating stroke sequelae, focusing on advances in endovascular and reconstructive procedures. Current evidence supports their role in select patients, suggesting that microsurgery, in combination with pharmacotherapy and rehabilitation, could improve outcomes for stroke survivors.

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References

Ding, D., Starke, R. M., Crowley, R. W., & Liu, K. C. (2015). Endovascular therapy for acute ischemic stroke: A review. Journal of Neurointerventional Surgery, 7(4), 301-310. https://doi.org/10.1136/neurintsurg-2014-011290

Goyal, M., Menon, B. K., van Zwam, W. H., Dippel, D. W., Mitchell, P. J., Demchuk, A. M. & Majoie, C. B. (2016). Endovascular thrombectomy after large-vessel ischaemic stroke: A meta-analysis of individual patient data from five randomised trials. The Lancet, 387(10029), 1723-1731. https://doi.org/10.1016/S0140-6736(16)00163-X

Powers, W. J., Rabinstein, A. A., Ackerson, T., Adeoye, O. M., Bambakidis, N. C., Becker, K., … & Tirschwell, D. L. (2018). 2018 guidelines for the early management of patients with acute ischemic stroke: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 49(3), e46-e110. https://doi.org/10.1161/STR.0000000000000158

Xu, G., & Wang, X. (2017). Microsurgical treatment of chronic ischemic stroke: Bypass surgery and its indications. Neurosurgery Clinics of North America, 28(3), 367-378. https://doi.org/10.1016/j.nec.2017.04.009