A few interesting cases in neurology and intervention neurology departments. Thrombectomy was performed on a patient. This is a manipulation of blood flow through which a surgeon removes blood clots from the vessels.

The 67-year-old male patient with a history of arterial hypertension was admitted of acute onset 2 hours before hospitalization, decreased level of consciousness, impaired speech, facial asymmetry, right-sided weakness and numbness.
In neurological status there was impaired consciousness, motor aphasia, central paresis of the VII-XII cranial nerves, deep right sided hemiparesis with hypotonia and hyporeflexia. NIHSS-13.
Brain CT shows no hemorrhage.
In full accordance with protocol, on a patient we performed: mechanical endovascular thrombectomy, cerebral angiography, using the Seldinger Technique. Was found the middle cerebral artery M2 insular segment occlusion. Embolectomy was finished without any complications, perfusion pressure was fully recovered.
Computer brain tomography did not show any brain damage. In 24 hours motor deficit was fully regressed.

The 72-year-old female patient with a history of arterial hypertension was admitted of acute onset decreased level of consciousness, impaired speech, facial asymmetry and left-sided hemiplegia.
In neurological status there was impaired consciousness, vision, central paresis of the facial nerve, left-sided hemiplegia. NIHSS-12.
Brain CT shows no hemorrhage.
In full accordance with protocol, on a patient we performed: mechanical endovascular thrombectomy, cerebral angiography, using the Seldinger Technique. Was found the right side middle cerebral artery occlusion. Embolectomy was finished without any complications, perfusion pressure was fully recovered.
In the dynamics, the patient’s condition improved significantly, a deep motor deficit in the left extremities was restored, and after a few days she was discharged from the clinic in a satisfactory condition with mild left-sided hemataxia.

The 80-year-old female patient was admitted of acute onset decreased level of consciousness, facial asymmetry and left-sided hemiplegia.
In neurological status there was impaired consciousness, central paresis of the facial nerve, left-sided hemiplegia. NIHSS-18.
Brain CT shows no hemorrhage.
In full accordance with protocol, on a patient we performed: mechanical endovascular thrombectomy, cerebral angiography, using the Seldinger Technique. Was found the right side middle cerebral artery occlusion. Embolectomy was finished without any complications, perfusion pressure was fully recovered.
Patient’s overall condition dynamically improved, consciousness level increased, dysarthria and left-sided deep pyramid consciousness level decreased. In a few days, she was cleared to go home with satisfactory health condition.