Use of decompressive craniectomy in the treatment of hemispheric infarction
Decompressive craniectomy (DC) has demonstrated efficacy in reducing mortality in hemispheric infarction of the middle cerebral artery. The aim of our study was to compare the outcome of patients submitted to DC to patients treated in a conservative way. Eighteen patients were submitted to DC and 14...
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| Veröffentlicht in: | Arquivos de neuro-psiquiatria 2008-06, Vol.66 (2A), p.204-208 |
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| container_title | Arquivos de neuro-psiquiatria |
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| creator | Fiorot, Jr, José Antonio Silva, Gisele Sampaio Cavalheiro, Sergio Massaro, Ayrton Roberto |
| description | Decompressive craniectomy (DC) has demonstrated efficacy in reducing mortality in hemispheric infarction of the middle cerebral artery. The aim of our study was to compare the outcome of patients submitted to DC to patients treated in a conservative way. Eighteen patients were submitted to DC and 14 received conservative treatment. Neurological status was assessed by the Glasgow Coma Score and National Institutes of Health Stroke Scale score. Mortality, modified Rankin Scale and Barthel Index scores were assessed at 90 days to evaluate outcome. We did not observe reduction in overall mortality and functional outcome in patients submitted to DC. The differences between our group and previously published series are probably related to the neurological status of the patients at the time of therapeutic decision. |
| doi_str_mv | 10.1590/S0004-282X2008000200012 |
| format | Article |
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| language | eng |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Adolescent Adult Aged Craniotomy - methods Decompression, Surgical - methods Follow-Up Studies Glasgow Coma Scale Humans Infarction, Middle Cerebral Artery - mortality Infarction, Middle Cerebral Artery - surgery Middle Aged NEUROSCIENCES Prognosis PSYCHIATRY Retrospective Studies Survival Analysis Treatment Outcome |
| title | Use of decompressive craniectomy in the treatment of hemispheric infarction |
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