Improved Hemodynamic Parameters in Middle Cerebral Artery Infarction After Decompressive Craniectomy

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Improved hemodynamic parameters in middle cerebral artery infarction after decompressive craniectomy.

BACKGROUND AND PURPOSE Decompressive craniectomy (DC) reduces mortality and improves functional outcome in patients with malignant middle cerebral artery infarction. However, little is known regarding the impact of DC on cerebral hemodynamics. Therefore, our goal was to study the hemodynamic changes that may occur in patients with malignant middle cerebral artery infarction after DC and to asse...

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Quality of life after decompressive craniectomy for malignant middle cerebral artery infarction.

Malignant middle cerebral artery (MCA) infarction is a devastating condition leading to early death in nearly 80% of cases due to the rapid rise of intracranial pressure despite maximum medical management of the ischaemic brain oedema. Decompressive craniectomy (DC) has been proposed to prevent brain herniation in malignant MCA infarction, but it remains controversial in the absence of randomis...

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Quality of life after decompressive craniectomy for malignant middle cerebral artery infarction

Malignant middle cerebral artery (MCA) infarction is a devastating condition leading to early death in nearly 80% of cases due to the rapid rise of intracranial pressure despite maximum medical management of the ischaemic brain oedema. Decompressive craniectomy (DC) has been proposed to prevent brain herniation in malignant MCA infarction, but it remains controversial in the absence of randomis...

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Decompressive craniectomy in massive cerebral infarction.

Twenty one patients were submitted to decompressive craniectomy for massive cerebral infarct. Ten patients (47.6%) presented a good outcome at the 6 months evaluation, eight had a poor outcome (38%) and three died (14.2%). There was no outcome statistical difference between surgery before and after 24 hours of ictus, dominant and non-dominant stroke groups. Patients older than 60 years and thos...

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Decompressive craniectomy in malignant middle cerebral artery infarction: To be, or not to be?

INTRODUCTION Descompressive craniectomy (DC) for treatment of malignant infarction of the middle cerebral artery (MIMCA) reduces mortality and increases the probability of favourable outcome. AIM To present the experience in daily practice after implantation of a clinical protocol of DC. PATIENTS AND METHODS Prospective register of patients with MIMCA treated with DC. Age, stroke severity -...

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ژورنال

عنوان ژورنال: Stroke

سال: 2014

ISSN: 0039-2499,1524-4628

DOI: 10.1161/strokeaha.113.003670