Decompressive craniectomy in malignant middle cerebral artery infarction

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Decompressive craniectomy in malignant middle cerebral artery infarction: To be, or not to be?

INTRODUCTION Descompressive craniectomy (DC) for treatment of malignant infarction of the middle cerebral artery (MIMCA) reduces mortality and increases the probability of favourable outcome. AIM To present the experience in daily practice after implantation of a clinical protocol of DC. PATIENTS AND METHODS Prospective register of patients with MIMCA treated with DC. Age, stroke severity -...

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Quality of life after decompressive craniectomy for malignant middle cerebral artery infarction.

Malignant middle cerebral artery (MCA) infarction is a devastating condition leading to early death in nearly 80% of cases due to the rapid rise of intracranial pressure despite maximum medical management of the ischaemic brain oedema. Decompressive craniectomy (DC) has been proposed to prevent brain herniation in malignant MCA infarction, but it remains controversial in the absence of randomis...

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A Cohort Study of Decompressive Craniectomy for Malignant Middle Cerebral Artery Infarction

Decompressive hemicraniectomy with malignant middle cerebral artery (MCA) infarction is effective but remains underutilized. The aim of this study was to observe the utilization of this intervention in mainland China.We included patients with malignant MCA infarction who admitted in West China Hospital between December 2007 to March 2011. The outcomes were death and favorable outcome (mRS < 4) ...

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Decompressive craniectomy for the treatment of malignant infarction of the middle cerebral artery

Early decompressive craniectomy (DC) has been shown to reduce mortality in malignant middle cerebral artery (MCA) infarction, whereas efficacy of DC on functional outcome is inconclusive. Here, we performed a meta-analysis to estimate the effects of DC on malignant MCA infarction and investigated whether age of patients and timing of surgery influenced the efficacy. We systematically searched P...

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Decompressive craniectomy as treatment for a rat model of „malignant“ middle cerebral artery infarction

Klíčová slova dekompresní kraniektomie – mozkový infarkt – střední mozková tepna (ACM) – krysa Abstract We investigated the effects of decompressive craniectomy in a rat model of „malignant“ middle cerebral artery (MCA) infarction. A total of 55 male Sprague-Dawley rats weighing 290–340 g were allocated to the following groups: (1) Sham operated group (group 1, n = 14, as controls); (2) MCA occ...

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ژورنال

عنوان ژورنال: Neurology: Clinical Practice

سال: 2016

ISSN: 2163-0402,2163-0933

DOI: 10.1212/cpj.0000000000000291