33 year old mom's massive ischemic stroke now having secondary edema/swelling 7-10 days later. what to do?

Critical issue: Stroke in younger patients, especially a massive event, is invariably associated with localized brain edema, which can be life threatening. The issue here involves increased intracranial pressure, and she should be followed via use of a pressure bolt. Both medical and surgical interventions can play a major role, and hopefully a neurosurgeon is involved. Have a family conference with docs.

Request neurosurgeon: In some instances, especially in young stroke victims with large territory stroke, an emergent hemicraniotomy may be performed. It all depends on timing after the insult, size, etc. You may ask for a neurosurgery consult.