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Skull Base 2005; 15(3): 175-189
DOI: 10.1055/s-2005-871873
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001 USA.

Middle Cerebral Artery Stenosis: Endovascular and Surgical Options

Jeffrey D. Klopfenstein1 , Francisco A. Ponce1 , Louis J. Kim1 , Felipe C. Albuquerque1 , Peter Nakaji1 , Robert F. Spetzler1
  • 1Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona
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Publication History

Publication Date:
08 July 2005 (online)

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ABSTRACT

Atherosclerotic middle cerebral artery stenosis is a rare but potentially devastating cause of cerebral ischemia and stroke. While medical management remains the mainstay for stroke prevention, surgical and/or endovascular intervention is indicated in selected patients. This article reviews the role of surgery and endovascular techniques in the treatment of middle cerebral artery stenosis based on its natural history, pathophysiology, and prognosis when treated medically.

KEYWORDS

Middle cerebral artery stenosis - surgery - bypass - stenting - endovascular - angioplasty

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Robert F SpetzlerM.D. 

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