Malignant infarctions of the middle cerebral artery (MCA) have high mortality. Recent studies showed decreased mortality with good functional outcome in young people with decompressive surgery. We report prospective, non-randomized case series of live patients in whom successful life saving decompressive craniectomy was performed. All five were males. Mean age was 59.2 +/- 13 years. Four had ri...

series, 23 of their 108 (21.3%) patients developed subdural effusion after decompressive craniectomy for head trauma. Their data also showed that there was no preference regarding the location of the subdural effusion: it was ipsilateral to craniectomy in 11 cases, contralateral to craniectomy in 9 cases, and bilateral in 3 cases. Yang et al. discuss the possible mechanisms responsible for the ...

BACKGROUND Computed tomography angiography (CTA) is largely performed in European countries as an ancillary test for diagnosing brain death. However, CTA suffers from a lack of sensitivity, especially in patients who have previously undergone decompressive craniectomy. The aim of this study was to assess the performance of a revised four-point venous CTA score, including non-opacification of th...

BACKGROUND Convexity meningiomas are benign brain tumors that are amenable to complete surgical resection and are associated with a low complication rate. The aim of this study was to identify factors that result in acute postoperative neurological worsening after the removal of convexity meningiomas. METHODS Clinical evaluation and neuroradiological analysis of patients who underwent removal...

BACKGROUND Malignant cerebral infarction is a well-recognized disease, comprising 10-15% of all cases with cerebral infarction and causing herniation and death in 80% of cases. In this study, we compare the effects of decompressive craniectomy versus conventional medical treatment on mortality rate and functional and neurological outcome in patients with malignant MCA infarction. METHODS We p...

AIM Intracerebral haematoma and brain ischaemia are rare life-threatening complications of cardiovascular surgery. The aim of this study is to present the experience with the neurosurgical treatment of patients with cerebrovascular complications of heart surgery. MATERIAL AND METHODS Patients with brain ischaemia or intracerebral haematoma in the acute phase after heart surgery or invasive in...

series, 23 of their 108 (21.3%) patients developed subdural effusion after decompressive craniectomy for head trauma. Their data also showed that there was no preference regarding the location of the subdural effusion: it was ipsilateral to craniectomy in 11 cases, contralateral to craniectomy in 9 cases, and bilateral in 3 cases. Yang et al. discuss the possible mechanisms responsible for the ...