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Global Summit on Stroke

Birmingham, UK

Vidyasagar Casikar

University of Sydney, Australia

Title: STROKE: A Neurosurgeon’s Perspective.


Biography: Vidyasagar Casikar


Neurosurgeon views stroke to identify any underlying surgically correctable pathology. This talk describes my personal opinion regarding the surgical management of stroke. Vascular accidents such as aneurysms, AVMs and angiomas constitute a major proportion of surgical problems. Recent technical developments have changed the approach to these problems. Haemorrhage in a malignant tumour is not uncommon. Often the diagnosis is delayed due to difficulties in recognising this condition. Surgical treatment of intracerebral haemorrhage is still a controversial subject. The outcome of such a treatment is often poor. Role of surgery in acute cerebellar bleed is limited. Decompression to reduce raised ICP has improved the survival rates. The neurological improvement and quality of survival are generally disappointing. Endovascular treatment of vascular occlusion has encouraging results. The attractive concept of revascularisation is not always supported by favourable outcomes. The presentation highlights the changing trends in the surgical management of strokes.