Open AccessOutcome after decompressive craniectomy in patients with dominant middle cerebral artery infarction: A preliminary report
Author(s) -
Amandeep Kumar,
Manish Sharma,
Bhawani S. Sharma,
Rohit Bhatia,
Meharban Singh,
Ajay Garg,
Rajinder Kumar,
Ashish Suri,
P. Sarat Chandra,
Shashank Sharad Kale,
Ashok Kumar Mahapatra
Publication year - 2013
Publication title -
annals of indian academy of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.427
H-Index - 31
eISSN - 1998-3549
pISSN - 0972-2327
DOI - 10.4103/0972-2327.120445
Subject(s) - medicine , decompressive craniectomy , glasgow outcome scale , ambulatory , motor function , middle cerebral artery , barthel index , glasgow coma scale , stroke (engine) , infarction , retrospective cohort study , activities of daily living , surgery , physical therapy , traumatic brain injury , physical medicine and rehabilitation , myocardial infarction , mechanical engineering , ischemia , psychiatry , engineering
Life-threatening, space occupying, infarction develops in 10-15% of patients after middle cerebral artery infarction (MCAI). Though decompressive craniectomy (DC) is now standard of care in patients with non-dominant stroke, its role in dominant MCAI (DMCAI) is largely undefined. This may reflect the ethical dilemma of saving life of a patient who may then remain hemiplegic and dysphasic. This study specifically addresses this issue.