Surgical Aspects of Decompression Craniectomy in Malignant Stroke: Review
Author(s) -
Klaus Zweckberger,
Eric Jüettler,
Julian Bösel,
W. Andreas Unterberg
Publication year - 2014
Publication title -
cerebrovascular diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 104
eISSN - 1421-9786
pISSN - 1015-9770
DOI - 10.1159/000365864
Subject(s) - medicine , decompressive craniectomy , decompression , cranioplasty , surgery , stroke (engine) , contraindication , aphasia , craniotomy , traumatic brain injury , skull , mechanical engineering , alternative medicine , pathology , psychiatry , engineering
Space-occupying malignant stroke of the middle cerebral artery (MCA) is associated with a high mortality rate of up to 80% under conservative treatment. Although there is convincing evidence that decompression craniectomy can significantly reduce mortality rate and improve neurological outcome in young patients (<60 years), many surgeons are still hesitant to recommend hemicraniectomy for stroke patients.
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