Decompressive craniectomy for large supratentorial infarction: a case report

ABSTRACT

Report one case of a 52 years old male patient who lived in Vinh Long province, admitted at January 27th 2005. Patient was treated first aid at Vinh Long Hospital, and then he was operated at the Department of Neurosurgery of People’s Hospital No 115. CT scan found large supratentorial infarction accounted for 3/4 of right hemisphere area that adequate with the supplying blood area of media cerebral artery, and imagine of temporal lobe herniation , subfalcial herniation. Patient was intensively treated by anti-cerebral edema and was conducted hematological tests. Then he was indicated decompressive surgery. Results of CT scan after 24 hours after operation showed that the middle line was regained more, brain delivered cerebral notch. One week after operation, patient was conscious, GCS=15, left hemiplegia, muscle power=2/5. Patient discharged after 10 days with GOS=4, and was intended treating by auto-grafting after 3 months