Invasive Monitoring of Intracranial Pressure After Decompressive Craniectomy in Malignant Stroke

BACKGROUND AND PURPOSE:The role of decompressive hemicraniectomy (DC) in malignant cerebral infarction (MCI) has clearly been established, but little is known about the course of intracranial pressure (ICP) in patients undergoing this surgical measure. In this study, we investigated the role of inva...

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Veröffentlicht in:Stroke (1970) 2021-02, Vol.52 (2), p.707-711
Hauptverfasser: Hernández-Durán, Silvia, Meinen, Leonie, Rohde, Veit, von der Brelie, Christian
Format: Artikel
Sprache:eng
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Zusammenfassung:BACKGROUND AND PURPOSE:The role of decompressive hemicraniectomy (DC) in malignant cerebral infarction (MCI) has clearly been established, but little is known about the course of intracranial pressure (ICP) in patients undergoing this surgical measure. In this study, we investigated the role of invasive ICP monitoring in patients after DC for MCI, postulating that postoperative ICP predicts mortality. METHODS:In this retrospective observational study of MCI patients undergoing DC, ICP were recorded continuously in hourly intervals for the first 72 hours after DC. For every hour, mean ICP was calculated, pooling ICP of every patient. A receiver operating characteristic analysis was performed for hourly mean ICP. A subgroup analysis by age (≥60 years and
ISSN:0039-2499
1524-4628
DOI:10.1161/STROKEAHA.120.032390