Timing of Decompressive Hemicraniectomy for Stroke

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Timing 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...

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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...

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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 ...

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Decompressive hemicraniectomy for treatment of space occupying ischemic stroke after repair of type-A aortic dissection.

Postoperative stroke after cardiac surgery is often a lethal complication. Herein, we report on a patient who suffered space-occupying ischemic stroke after surgical treatment of type A aortic dissection. He underwent decompressive hemicraniectomy and, despite residual hemianopsia and left side flaccid hemiplegia, survived surgery and was discharged for rehabilitation. This observation suggests...

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Decompressive Hemicraniectomy in Patients With Transtentorial Herniation

✔ Objective: To present the results, technique and indications of decompressive hemicraniectomy in patients with unilateral transtentorial herniation. Methods: Ten consecutive patients with intracranial hypertension refractory to medical management and transtentorial herniation were treated with decompressive hemicraniectomy over a 3-year period with the following diagnoses: malignant infarctio...

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ژورنال

عنوان ژورنال: Stroke

سال: 2017

ISSN: 0039-2499,1524-4628

DOI: 10.1161/strokeaha.116.014727