Decompressive Hemicraniectomy for Large Hemispheric Strokes
نویسندگان
چکیده
منابع مشابه
Collagen matrix in decompressive hemicraniectomy.
OBJECTIVE Decompressive hemicraniectomy is an accepted treatment for otherwise untreatable intracranial hypertension. The aim of this prospective randomized study is to evaluate the benefit of application of collagen matrix as an onlay graft to reduce operating time during hemicraniectomy and to facilitate dural dissection during second-stage cranioplasty. METHODS Thirty-four consecutive pati...
متن کاملTiming of Decompressive Hemicraniectomy for Stroke
The original randomized, controlled clinical trials that established the efficacy of decompressive hemicraniectomy after space-occupying, malignant cerebral artery infarction were neither designed nor powered to evaluate the optimal timing of intervention. Because of the time frame used as enrollment criteria in these clinical trials, the initial pooled analysis was restricted to patients treat...
متن کاملEarly decompressive hemicraniectomy in older patients with nondominant hemispheric infarction improves outcome.
To answer the questions regarding the efficacy of hemicraniectomy in older patients with malignant middle cerebral artery infarctions, several facts and open questions must be considered. First, the natural course of complete middle cerebral artery infarctions is associated with early death in 70% to 80% of cases. This “malignant” and deadly course can also be seen in older patients. Second, in...
متن کاملDecompressive hemicraniectomy in elderly patients with malignant hemispheric infarction: open questions remain beyond DESTINY.
Elderly patients are underrepresented in stroke trials because their inherent comorbidity may potentially challenge the trial success. This results in a lack of consistent evidence for many stroke therapies in a majority of the stroke population. Certainly, age is one of the most powerful predictors of poor outcome after thrombolysis, rescue endovascular therapies, and carotid endarterectomy. H...
متن کاملEarly decompressive hemicraniectomy in older patients with nondominant hemispheric infarction does not improve outcome.
Space-occupying edema formation is an important cause of death in young patients with large hemispheric infarcts. This complication appears to occur less frequently in elderly patients with similar-sized infarcts, in part because edema may be compensated for by brain atrophy.1 Because the risk of stroke increases almost exponentially with age, space-occupying hemispheric infarcts are still freq...
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ژورنال
عنوان ژورنال: Stroke
سال: 2021
ISSN: 0039-2499,1524-4628
DOI: 10.1161/strokeaha.120.032359