Neurosurgeon Questions Stroke

Is surgery required for a patient who has suffered from a stroke?

My father is 72 years old and has slipped into coma due to a stroke. Do you think the doctors may recommend surgery given his age and condition? Or what will happen?

6 Answers

This would depend on the size and location of the stroke as well as the amount of brain swelling. There is also a attempt to ascertain the extent of brain damage from the stroke itself. I hope this helps.
I am sorry to hear that. I hope he pulls through. It depends on the type of stroke he had and where it is located and how large. Given his age I think it is very reasonable for your doctor to recommend surgery or non-surgical medical management as well. You have to trust the doctors who are there and can take an accurate history and physical examination as well as look at his radiographic images. My thoughts are with you.
Depending upon the cause and length of time since the even, they might. If it is an embolism and only a few hours it might be worth a try.
The term "stroke" is a very broad general term. There are many kinds of stroke for some of which surgery may be a useful treatment. The most common kind of stroke is blockage of an artery which carries blood to the brain. Recent, non-invasive treatments of such strokes using a small catheter inserted into the femoral artery at the groin and threaded up to the blocked artery may allow a clot dissolving medication to be injected to open up the blood vessel or in some cases the clot blocking the vessel can actually be removed. These treatments must be done within a few hours of the stroke to be effective. Other types of stroke such as bleeding directly into or on the surface may or may not respond to an open type of surgery. A neurologist and neurosurgeon experienced in all types of stroke treatment will be the best source of information about whether or not surgery is indicated in a particular stroke situation.
There are so many variables to consider in such cases, obviously the age, overall health state, and where the stroke is and how big, current clinical state of the patient and patient's own wish of how they want to be treated in such difficult situations, which can leave them in a very disabled state, but the classical indication for surgery is significant brain swelling threating the patient's life, in these cases, surgical decompression maybe recommend, but again all the previously mentioned factors will be considered also.
Surgery for stroke is not always indicated. If it is, it is usually a life saving measure and may not bring any meaningful function back. It is generally reserved for younger patients in a reasonably good neurological condition.