Total Hemispheric Infarction

THE EFFICACY OF DECOMPRESSIVE CRANIECTOMY IN TREATMENT OF PATIENTS WITH MASSIVE HEMISPHERIC CEREBRAL INFARCTION

Massive cerebral infarction is often accompanied by early death, secondary to brain edema and trans-tentorial herniation. Several reports indicate beneficial effects of decompressive craniectomy in this situation, but the efficacy of this procedure is still a matter of debate. A n experimental study in a period of3 years was done on2 3 patients with brain edema due to massive cerebral infa...

Pathological Laughter after Right Hemispheric Infarction

A lady who had repeated spontaneous pathological laughter after cerebral infarction is described. The role of right hemispheric damage in its causation is discussed.

Hemispheric infarction after herpes zoster ophthalmicus.

Use of decompressive craniectomy in the treatment of hemispheric infarction.

Decompressive craniectomy (DC) has demonstrated efficacy in reducing mortality in hemispheric infarction of the middle cerebral artery. The aim of our study was to compare the outcome of patients submitted to DC to patients treated in a conservative way. Eighteen patients were submitted to DC and 14 received conservative treatment. Neurological status was assessed by the Glasgow Coma Score and ...

Malignant hemispheric infarction: diagnosis and management by hemicraniectomy.

A previously healthy, right-handed 43-year-old man was found lying on the floor in his apartment. His relatives had been unable to contact him for more than a day. On admission , he was somnolent but attempted to obey commands and had a right-sided hemiplegia, dense sensory loss, severe word-finding difficulty, and anisocoria with miosis and pto-sis in left eye (National Institutes of Health St...