Decompressive hemicraniectomy for malignant middle cerebral artery infarct
نویسندگان
چکیده
منابع مشابه
Revisiting Hemicraniectomy: Late Decompressive Hemicraniectomy for Malignant Middle Cerebral Artery Stroke and the Role of Infarct Growth Rate
Objective and Methods. The outcome in late decompressive hemicraniectomy in malignant middle cerebral artery stroke and the optimal timings of surgery has not been addressed by the randomized trials and pooled analysis. Retrospective, multicenter, cross-sectional study to measure outcome following DHC under 48 or over 48 hours using the modified Rankin scale [mRS] and dichotomized as favorable ...
متن کاملHemicraniectomy for malignant middle cerebral artery infarction.
PURPOSE OF REVIEW Space-occupying, malignant hemispheric infarction is one of the most devastating forms of ischemic stroke. Several case series had suggested decompressive hemicraniectomy as a life-saving therapy, but, until recently, there was no proof for this procedure from randomized controlled trials. RECENT FINDINGS In 2007, results from a pooled analysis of three European trials as we...
متن کاملHemicraniectomy in Malignant Middle Cerebral Artery Infarction
The concept of decompressive surgery for treatment of elevated intracranial pressure has been developed already in the beginning of the 20th century.1 The rationale of this treatment modality consists of opening of the skull and removal of a bone flap to allow the edematous brain to swell outward, thereby preventing intracranial tissue shifts and life-threatening downward herniation. The use of...
متن کاملDecompressive hemicraniectomy for malignant middle cerebral artery territory infarction: is life worth living?
OBJECT Although decompressive hemicraniectomy has been shown to reduce death and improve functional outcome following malignant middle cerebral artery territory infarction, there is ongoing debate as to whether surgery should be routinely performed, considering the very high rates of disability and functional dependence in survivors. Through a systematic review of the literature, the authors so...
متن کاملNationwide survey of decompressive hemicraniectomy for malignant middle cerebral artery infarction in Japan.
OBJECTIVE Decompressive hemicraniectomy (DHC) for malignant middle cerebral artery (MCA) infarction has been shown to reduce mortality and improve functional outcomes in young adults; however, there is currently debate regarding how routinely such surgery should be performed in the clinical setting, considering the very high rate of disability and functional dependence among survivors. We herei...
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ژورنال
عنوان ژورنال: Turkish Neurosurgery
سال: 2014
ISSN: 1019-5149
DOI: 10.5137/1019-5149.jtn.13241-14.1