| Literature DB >> 28600010 |
Aman Gupta1, Mithun G Sattur1, Rami James N Aoun1, Chandan Krishna2, Patrick B Bolton3, Brian W Chong4, Bart M Demaerschalk5, Mark K Lyons2, Jamal McClendon2, Naresh Patel2, Ayan Sen6, Kristin Swanson7, Richard S Zimmerman2, Bernard R Bendok8.
Abstract
Malignant large artery stroke is associated with high mortality of 70% to 80% with best medical management. Decompressive craniectomy (DC) is a highly effective tool in reducing mortality. Convincing evidence has accumulated from several randomized trials, in addition to multiple retrospective studies, that demonstrate not only survival benefit but also improved functional outcome with DC in appropriately selected patients. This article explores in detail the evidence for DC, nuances regarding patient selection, and applicability of DC for supratentorial intracerebral hemorrhage and posterior fossa ischemic and hemorrhagic stroke.Entities:
Keywords: Cerebellar stroke; Cerebral edema; Decompressive craniectomy; Malignant infarct; Modified Rankin score; Surgery for stroke
Mesh:
Year: 2017 PMID: 28600010 DOI: 10.1016/j.nec.2017.02.010
Source DB: PubMed Journal: Neurosurg Clin N Am ISSN: 1042-3680 Impact factor: 2.509