Consideration on Hemicraniectomy
نویسندگان
چکیده
Decompressive hemicraniectomy is a surgical technique used to relieve the increased intracranial pressure. There is no standardized surgical technique to clearly state the minimum area of the cranial vault needed to obtain the best results. The aim of the current paper is to present our surgical technique and experience used in performing hemicraniectomies, technique that we consider optimal for his purpose. Our experience consists in 17 operated cases and eleven patients (64,7%) were long term survivors.
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...
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BACKGROUND AND PURPOSE Malignant middle cerebral artery infarction is estimated to occur in 10% of ischemic strokes, but few patients undergo decompressive hemicraniectomy, a proven therapy. We determined the proportion of patients with ischemic stroke without significant baseline disability with large middle cerebral artery infarction who would have been potentially eligible for hemicraniectom...
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BACKGROUND Early decompressive hemicraniectomy reduces mortality without increasing the risk of very severe disability among patients 60 years of age or younger with complete or subtotal space-occupying middle-cerebral-artery infarction. Its benefit in older patients is uncertain. METHODS We randomly assigned 112 patients 61 years of age or older (median, 70 years; range, 61 to 82) with malig...
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The benefits of hemicraniectomy for malignant middle cerebral artery (MCA) stroke may not be apparent in the 3- to 6-months in which final outcomes are assessed in research studies. We present the case of a 15-year-old who underwent hemicraniectomy for malignant MCA stroke and was significantly disabled 3 and 6 months after event. Over the long-term she was able to graduate from university, pla...
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