Infarct volume predicts outcome after decompressive hemicraniectomy for malignant hemispheric stroke
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چکیده
منابع مشابه
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 ...
متن کامل“Outcome Following Decompressive Hemicraniectomy for Malignant Cerebral Infarction: Ethical Considerations”
Response to Letter Regarding Article, “Outcome Following Decompressive Hemicraniectomy for Malignant Cerebral Infarction: Ethical Considerations” We read with interest the letter by Woodworth and Simard, and we thank them for the interest in our work. They have asked the question what should guide us when making these ethically challenging decisions, and in many respects, we have produced more ...
متن کاملHigh Risk of Seizures and Epilepsy after Decompressive Hemicraniectomy for Malignant Middle Cerebral Artery Stroke
BACKGROUND Decompressive hemicraniectomy (DHC) is a life-saving procedure for treatment of large malignant middle cerebral artery (MCA) strokes. Post-stroke epilepsy is an additional burden for these patients, but its incidence and the risk factors for its development have been poorly investigated. OBJECTIVE To report the prevalence and risk factors for post-stroke seizures and post-stroke ep...
متن کاملTiming 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...
متن کاملDecompressive hemicraniectomy in elderly patients with malignant hemispheric infarction: open questions remain beyond DESTINY.
Elderly patients are underrepresented in stroke trials because their inherent comorbidity may potentially challenge the trial success. This results in a lack of consistent evidence for many stroke therapies in a majority of the stroke population. Certainly, age is one of the most powerful predictors of poor outcome after thrombolysis, rescue endovascular therapies, and carotid endarterectomy. H...
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ژورنال
عنوان ژورنال: Journal of Cerebral Blood Flow & Metabolism
سال: 2017
ISSN: 0271-678X,1559-7016
DOI: 10.1177/0271678x17718693