Functional outcomes of decompressive hemicraniectomy following malignant middle cerebral artery infarctions: a systematic review

Autor:	Alison McKenna, David Curran, Colin F. Wilson, Sheena B. Caldwell
Rok vydání:	2012
Předmět:	Adult Male Decompressive Craniectomy medicine.medical_specialty Pediatrics Adolescent medicine.medical_treatment Cerebral arteries Infarction Young Adult Sex Factors Midline shift medicine.artery medicine Humans Young adult Stroke Aged Decompressive hemicraniectomy Rehabilitation business.industry Age Factors Infarction Middle Cerebral Artery General Medicine Middle Aged medicine.disease Surgery Treatment Outcome Middle cerebral artery Female Neurology (clinical) business
Zdroj:	British Journal of Neurosurgery. 26:310-315
ISSN:	1360-046X 0268-8697
DOI:	10.3109/02688697.2012.654835
Popis:	Decompressive hemicraniectomy has been used increasingly in recent years to treat malignant middle cerebral artery territory infarction. This review examines functional outcome data, with the novel analysis of outcomes according to temporal periods post-surgery. Case series data were pooled to determine significant correlates of outcome. Severe disability was frequently the outcome among survivors within one month post-surgery. Time and rehabilitation were later reflected, with fewer deaths and the emergence of mild to moderate disability increasing in prevalence. Mortality and severe disability were consistently more probable with increasing age. Presurgical clinical status in the form of additional cerebral artery involvement and midline shift also correlated with mortality within the 30-day period post-stroke.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::35787f859871451c8b43dd2b79876436 https://doi.org/10.3109/02688697.2012.654835 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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