Malignant middle cerebral artery infarction
نویسندگان
چکیده
منابع مشابه
Malignant middle cerebral artery infarction.
PURPOSE OF REVIEW This review will report on the new aspects of management of 'malignant' middle cerebral artery (MCA) infarctions. RECENT FINDINGS Large MCA infarctions have been associated with high death rates for years. The most reliable predictors of a 'malignant' course are hypodensity in more than 50% of the MCA territory on computed tomography as well as stroke volume greater than 145...
متن کاملHemicraniectomy in Malignant Middle Cerebral Artery Infarction
The concept of decompressive surgery for treatment of elevated intracranial pressure has been developed already in the beginning of the 20th century.1 The rationale of this treatment modality consists of opening of the skull and removal of a bone flap to allow the edematous brain to swell outward, thereby preventing intracranial tissue shifts and life-threatening downward herniation. The use of...
متن کاملManagement of Malignant Middle Cerebral Artery Infarction
Malignant middle cerebral artery (MCA) infarcts occur in a small subset of patients with ischaemic strokes and lead to high levels of disability and mortality. Over the last 10 years, surgical interventions, in the form of decompressive craniectomies, have become more popular. There is insufficient evidence to support current medical treatments including mannitol, glycerol, steroids, hypertonic...
متن کاملHemicraniectomy for malignant middle cerebral artery infarction.
PURPOSE OF REVIEW Space-occupying, malignant hemispheric infarction is one of the most devastating forms of ischemic stroke. Several case series had suggested decompressive hemicraniectomy as a life-saving therapy, but, until recently, there was no proof for this procedure from randomized controlled trials. RECENT FINDINGS In 2007, results from a pooled analysis of three European trials as we...
متن کاملDecompressive surgery for malignant middle cerebral artery territory infarction
A case of complete middle cerebral artery territory infarction associated with some haemorrhagic transformation at 36 hours post onset, and at one day after decompressive surgery. Note the effect of surgery on midline shift and ventricular compression. The patient survived with a Modifi ed Rankin Score of 3. But would the patient have done as well without surgery? Here we present the two opposi...
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ژورنال
عنوان ژورنال: BMJ Case Reports
سال: 2017
ISSN: 1757-790X
DOI: 10.1136/bcr-2016-219117