Treatment of cerebellar infarction by decompressive suboccipital craniectomy.
Author(s) -
Han-Jung Chen,
T.-C. Lee,
C P Wei
Publication year - 1992
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/01.str.23.7.957
Subject(s) - medicine , decompressive craniectomy , surgery , cerebral edema , decompression , stroke (engine) , ventriculostomy , intracranial pressure , head trauma , intracranial pressure monitoring , traumatic brain injury , hydrocephalus , anesthesia , mechanical engineering , psychiatry , engineering
We present an anecdotal series of 11 patients without past history of stroke with progressive neurological deterioration while on medical therapy for large cerebellar infarctions. Clinical signs of brain stem compression developed in these patients. Computerized tomography of the head confirmed mass effect from brain edema. It was the clinical judgment of the neurologists and neurosurgeons that each of these 11 patients would expire without surgical intervention.
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