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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.
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.
KEY POINTS. Acute occlusion of a proximal large intracranial artery has high risk of progression to malignant infarct. The results of best medical management including aggressive ICU measures are dismal, with mor-tality of up to 80%. Decompressive craniectomy (DC) is demonstrated to conclusively improve mortality to around 30%.
25 sty 2019 · The goal of this paper is to synthesize the data regarding timing of craniectomy for malignant stroke and traumatic brain injury (TBI) based on studied time windows and clinical correlates of...
Consider decompressive hemicraniectomy (which should be performed within 48 hours of symptom onset) for people with acute stroke who meet all of the following criteria:
Several factors influence the timing of decompressive hemi-craniectomy, including the severity of infarction, antithrom-botic medications, and the tempo of developing malignant cerebral edema.5 Previous publications have found that the progression of cerebral edema after acute infarction ranges between 2 and 5 days: while 68% of patients exhibit...
Decompressive hemicraniectomy within 48 hours of stroke onset is recommended in patients with malignant MCA infarction who are 60 years or younger (level of evidence Ia, grade of recommendation A) or older than 60 years (level of evidence Ib,
