Redefining the upper age limit of decompressive craniectomy surgery for malignant middle cerebral artery infarct

Background: Decompressive craniectomy is an effective treatment for malignant middle cerebral artery (MCA) territory infarct. But the age limit surgery not well defined. The time window of considered less than 96 hours.Methods: This retrospective study 60 patients MCA infarct who underwent decompressive selected in this and using modified Rankin score.Results: In 36 were years above years. 38 right sided 22 left Out patients, operated within 48 hours onset symptoms between to hours. 49% had score (mRS) 0–3 at 3 months follow up while only 37% after mRS up.Conclusions: infarction can reduce case fatality rate but favorable outcome questionable. Hence surgical decision should depend on social patient factors.