Decompressive Hemicraniectomy for Malignant Middle Cerebral Artery Infarct
Decompressive hemicraniectomy for a malignant middle cerebral artery infarct can be a life-saving surgical treatment. We aimed to investigate the surgical treatment results in cases that underwent decompressive hemicraniectomy for a malignant middle cerebral artery infarct in this study. The clinica...
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| Veröffentlicht in: | Turkish neurosurgery 2016, Vol.26 (5), p.704-708 |
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| creator | Gulensoy, Bulent Karatay, Mete Erdem, Yavuz Celik, Haydar Tascioglu, Tuncer Sertbas, Idris Gursoy, Tansu Kul, Halil Gokcek, Cevdet Yasitli, Ugur Bayar, Mehmet Akif |
| description | Decompressive hemicraniectomy for a malignant middle cerebral artery infarct can be a life-saving surgical treatment. We aimed to investigate the surgical treatment results in cases that underwent decompressive hemicraniectomy for a malignant middle cerebral artery infarct in this study.
The clinical condition, radiological findings and surgical treatment results of 42 cases that underwent decompressive hemicraniectomy for a malignant middle cerebral artery infarct were retrospectively evaluated in this study.
There were 19 males and 23 females. The age range was 27 to 78 years with a mean age of 57.6 years. The infarct area was the non-dominant hemisphere in 20 cases and the dominant hemisphere in 22 cases. Preoperative Glasgow coma scale (GCS) scores were 5 to 12. The 42 cases with a malignant middle cerebral artery infarct were divided into 2 groups according to the Glasgow outcome scale (GOS) as the unfavorable outcome group (Group 1) with a score of 1 to 3 and the favorable outcome group with a score of 4 to 5 (Group 2). There were 27 cases in Group 1 and 15 in Group 2. There was a statistically significant association between a good result and age, Glasgow coma scale at the time of surgery, duration until surgery, and non-dominant hemisphere involvement. All cases with a Glasgow coma scale score of 7 or below had a poor outcome.
Decompressive hemicraniectomy in malignant middle cerebral artery infarct can be a life-saving procedure but is not useful in cases with a Glasgow coma scale score of 7 and below. |
| doi_str_mv | 10.5137/1019-5149.JTN.13241-14.1 |
| format | Article |
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The clinical condition, radiological findings and surgical treatment results of 42 cases that underwent decompressive hemicraniectomy for a malignant middle cerebral artery infarct were retrospectively evaluated in this study.
There were 19 males and 23 females. The age range was 27 to 78 years with a mean age of 57.6 years. The infarct area was the non-dominant hemisphere in 20 cases and the dominant hemisphere in 22 cases. Preoperative Glasgow coma scale (GCS) scores were 5 to 12. The 42 cases with a malignant middle cerebral artery infarct were divided into 2 groups according to the Glasgow outcome scale (GOS) as the unfavorable outcome group (Group 1) with a score of 1 to 3 and the favorable outcome group with a score of 4 to 5 (Group 2). There were 27 cases in Group 1 and 15 in Group 2. There was a statistically significant association between a good result and age, Glasgow coma scale at the time of surgery, duration until surgery, and non-dominant hemisphere involvement. All cases with a Glasgow coma scale score of 7 or below had a poor outcome.
Decompressive hemicraniectomy in malignant middle cerebral artery infarct can be a life-saving procedure but is not useful in cases with a Glasgow coma scale score of 7 and below.</description><identifier>ISSN: 1019-5149</identifier><identifier>DOI: 10.5137/1019-5149.JTN.13241-14.1</identifier><identifier>PMID: 27349403</identifier><language>eng</language><publisher>Turkey</publisher><subject>Adult ; Aged ; Decompressive Craniectomy ; Female ; Glasgow Coma Scale ; Glasgow Outcome Scale ; Humans ; Infarction, Middle Cerebral Artery - surgery ; Male ; Middle Aged ; Retrospective Studies ; Treatment Outcome</subject><ispartof>Turkish neurosurgery, 2016, Vol.26 (5), p.704-708</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-a6f137d28e587927158f7ffe996da9473f29f093832bf6c69dfafcce0b377da13</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27349403$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gulensoy, Bulent</creatorcontrib><creatorcontrib>Karatay, Mete</creatorcontrib><creatorcontrib>Erdem, Yavuz</creatorcontrib><creatorcontrib>Celik, Haydar</creatorcontrib><creatorcontrib>Tascioglu, Tuncer</creatorcontrib><creatorcontrib>Sertbas, Idris</creatorcontrib><creatorcontrib>Gursoy, Tansu</creatorcontrib><creatorcontrib>Kul, Halil</creatorcontrib><creatorcontrib>Gokcek, Cevdet</creatorcontrib><creatorcontrib>Yasitli, Ugur</creatorcontrib><creatorcontrib>Bayar, Mehmet Akif</creatorcontrib><title>Decompressive Hemicraniectomy for Malignant Middle Cerebral Artery Infarct</title><title>Turkish neurosurgery</title><addtitle>Turk Neurosurg</addtitle><description>Decompressive hemicraniectomy for a malignant middle cerebral artery infarct can be a life-saving surgical treatment. We aimed to investigate the surgical treatment results in cases that underwent decompressive hemicraniectomy for a malignant middle cerebral artery infarct in this study.
The clinical condition, radiological findings and surgical treatment results of 42 cases that underwent decompressive hemicraniectomy for a malignant middle cerebral artery infarct were retrospectively evaluated in this study.
There were 19 males and 23 females. The age range was 27 to 78 years with a mean age of 57.6 years. The infarct area was the non-dominant hemisphere in 20 cases and the dominant hemisphere in 22 cases. Preoperative Glasgow coma scale (GCS) scores were 5 to 12. The 42 cases with a malignant middle cerebral artery infarct were divided into 2 groups according to the Glasgow outcome scale (GOS) as the unfavorable outcome group (Group 1) with a score of 1 to 3 and the favorable outcome group with a score of 4 to 5 (Group 2). There were 27 cases in Group 1 and 15 in Group 2. There was a statistically significant association between a good result and age, Glasgow coma scale at the time of surgery, duration until surgery, and non-dominant hemisphere involvement. All cases with a Glasgow coma scale score of 7 or below had a poor outcome.
Decompressive hemicraniectomy in malignant middle cerebral artery infarct can be a life-saving procedure but is not useful in cases with a Glasgow coma scale score of 7 and below.</description><subject>Adult</subject><subject>Aged</subject><subject>Decompressive Craniectomy</subject><subject>Female</subject><subject>Glasgow Coma Scale</subject><subject>Glasgow Outcome Scale</subject><subject>Humans</subject><subject>Infarction, Middle Cerebral Artery - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><issn>1019-5149</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo90DtPwzAQB3APIFoKXwF5ZEnw2Ykdj1V5tWphKbPlOmcUlEexU6R-expaOt1w_3voRwgFluYg1AMw0EkOmU4X67cUBM8ggSyFCzI-t0bkOsYvxqTkAFdkxJXIdMbEmCwe0XXNNmCM1Q_SV2wqF2xboeu7Zk99F-jK1tVna9uerqqyrJHOMOAm2JpOQ49hT-ett8H1N-TS2zri7alOyMfz03r2mizfX-az6TJxQuZ9YqU_vF3yAvNCaa4gL7zyHrWWpdWZEp5rz7QoBN946aQuvfXOIdsIpUoLYkLuj3u3ofveYexNU0WHdW1b7HbRQAFSirxg_BAtjlEXuhgDerMNVWPD3gAzg54ZiMxAZA565k_PQGaGK3enK7tNg-V58J9O_ALZ5m3t</recordid><startdate>2016</startdate><enddate>2016</enddate><creator>Gulensoy, Bulent</creator><creator>Karatay, Mete</creator><creator>Erdem, Yavuz</creator><creator>Celik, Haydar</creator><creator>Tascioglu, Tuncer</creator><creator>Sertbas, Idris</creator><creator>Gursoy, Tansu</creator><creator>Kul, Halil</creator><creator>Gokcek, Cevdet</creator><creator>Yasitli, Ugur</creator><creator>Bayar, Mehmet Akif</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2016</creationdate><title>Decompressive Hemicraniectomy for Malignant Middle Cerebral Artery Infarct</title><author>Gulensoy, Bulent ; Karatay, Mete ; Erdem, Yavuz ; Celik, Haydar ; Tascioglu, Tuncer ; Sertbas, Idris ; Gursoy, Tansu ; Kul, Halil ; Gokcek, Cevdet ; Yasitli, Ugur ; Bayar, Mehmet Akif</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-a6f137d28e587927158f7ffe996da9473f29f093832bf6c69dfafcce0b377da13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Decompressive Craniectomy</topic><topic>Female</topic><topic>Glasgow Coma Scale</topic><topic>Glasgow Outcome Scale</topic><topic>Humans</topic><topic>Infarction, Middle Cerebral Artery - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gulensoy, Bulent</creatorcontrib><creatorcontrib>Karatay, Mete</creatorcontrib><creatorcontrib>Erdem, Yavuz</creatorcontrib><creatorcontrib>Celik, Haydar</creatorcontrib><creatorcontrib>Tascioglu, Tuncer</creatorcontrib><creatorcontrib>Sertbas, Idris</creatorcontrib><creatorcontrib>Gursoy, Tansu</creatorcontrib><creatorcontrib>Kul, Halil</creatorcontrib><creatorcontrib>Gokcek, Cevdet</creatorcontrib><creatorcontrib>Yasitli, Ugur</creatorcontrib><creatorcontrib>Bayar, Mehmet Akif</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Turkish neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gulensoy, Bulent</au><au>Karatay, Mete</au><au>Erdem, Yavuz</au><au>Celik, Haydar</au><au>Tascioglu, Tuncer</au><au>Sertbas, Idris</au><au>Gursoy, Tansu</au><au>Kul, Halil</au><au>Gokcek, Cevdet</au><au>Yasitli, Ugur</au><au>Bayar, Mehmet Akif</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Decompressive Hemicraniectomy for Malignant Middle Cerebral Artery Infarct</atitle><jtitle>Turkish neurosurgery</jtitle><addtitle>Turk Neurosurg</addtitle><date>2016</date><risdate>2016</risdate><volume>26</volume><issue>5</issue><spage>704</spage><epage>708</epage><pages>704-708</pages><issn>1019-5149</issn><abstract>Decompressive hemicraniectomy for a malignant middle cerebral artery infarct can be a life-saving surgical treatment. We aimed to investigate the surgical treatment results in cases that underwent decompressive hemicraniectomy for a malignant middle cerebral artery infarct in this study.
The clinical condition, radiological findings and surgical treatment results of 42 cases that underwent decompressive hemicraniectomy for a malignant middle cerebral artery infarct were retrospectively evaluated in this study.
There were 19 males and 23 females. The age range was 27 to 78 years with a mean age of 57.6 years. The infarct area was the non-dominant hemisphere in 20 cases and the dominant hemisphere in 22 cases. Preoperative Glasgow coma scale (GCS) scores were 5 to 12. The 42 cases with a malignant middle cerebral artery infarct were divided into 2 groups according to the Glasgow outcome scale (GOS) as the unfavorable outcome group (Group 1) with a score of 1 to 3 and the favorable outcome group with a score of 4 to 5 (Group 2). There were 27 cases in Group 1 and 15 in Group 2. There was a statistically significant association between a good result and age, Glasgow coma scale at the time of surgery, duration until surgery, and non-dominant hemisphere involvement. All cases with a Glasgow coma scale score of 7 or below had a poor outcome.
Decompressive hemicraniectomy in malignant middle cerebral artery infarct can be a life-saving procedure but is not useful in cases with a Glasgow coma scale score of 7 and below.</abstract><cop>Turkey</cop><pmid>27349403</pmid><doi>10.5137/1019-5149.JTN.13241-14.1</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Decompressive Craniectomy Female Glasgow Coma Scale Glasgow Outcome Scale Humans Infarction, Middle Cerebral Artery - surgery Male Middle Aged Retrospective Studies Treatment Outcome |
| title | Decompressive Hemicraniectomy for Malignant Middle Cerebral Artery Infarct |
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