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15 mar 2021 · Decompressive surgery can be a life-saving measure, and here we discuss the most up-to-date literature and provide a review on the surgical management of large hemispheric ischemic strokes. Large hemispheric infarctions (LHIs) lead to significant disability and mortality.
20 sty 2017 · Results— Among 1301 admissions, 55.8% (n=726) underwent surgery within 48 hours. Teaching hospital admission was associated with earlier surgery (P =0.02). The timing of intervention was not associated with in-hospital mortality.
The aim of HAMLET was to assess the impact of DC within 4 days after stroke onset, in contrast to most other RCTs with much shorter time frames (Table 1) . In patients randomized after more than 48 h from the onset of symptoms, no significant benefit with regard to death or poor outcome was found: the absolute risk reduction was only 8% ...
Decompressive surgery can be a life-saving measure, and here we discuss the most up-to-date literature and provide a review on the surgical management of large hemispheric ischemic strokes. Key Words: brain injury decompressive craniectomy ischemic stroke morbidity quality of life.
A craniectomy is a type of major brain surgery where a surgeon removes part of your skull to access your brain. Your surgeon doesn’t replace your skull during this procedure. A follow-up procedure called a cranioplasty replaces the removed piece of your skull at another time.
20 mar 2014 · Abstract. A large ischemic stroke that is starting to swell is one of the most alarming situations faced by neurologists and neurosurgeons. The problem progresses relentlessly, usually ending in...
Surgical technique (craniectomy-duraplasty) was largely similar in all trials. However, the time interval allowed between symptom onset and surgery differed. DC was performed within 24 hours of stroke onset in DECIMAL, 96 hours in HAMLET and HeADDFIRST, 48 hours in DESTINY II, and between 12 and 36 hours in DESTINY I.
