Decompressive Craniectomy for Malignant Middle Cerebral Infarction / 대한뇌혈관외과학회지
Korean Journal of Cerebrovascular Surgery
; : 49-54, 2009.
Article
em Ko
| WPRIM
| ID: wpr-39015
Biblioteca responsável:
WPRO
ABSTRACT
Decompressive craniectomy is used to treat increased intracranial pressure due to brain swelling in middle cerebral artery infarction. Recently, 3 European multicenter, prospective, randomized trials and a pooled analysis were published. In the pooled analysis, decompressive craniectomy did not appear to increase the risk of complete dependency, misery, and hopelessness. Exactly 2 patients in the surgical and medical groups (5%) were bedbound and severely disabled (mRS 5) at 1 year. The proportion of patients alive with minimal-tomoderate disability (mRS 0-3), however, was significantly increased from 21% to 43%. Decompressive craniectomy resulted in a 49% absolute risk reduction in death, and an absolute increase in the proportion of patients rated as mRS 2 of 12%, mRS 3 of 10%, and mRS 4 of 29%. But, this can be applied in cases with relative young age and early surgical procedure. Therefore, the indication for decompressive craniectomy should be individualized and its potential implications on long-term outcomes should be comprehensively discussed with the caregivers.
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Texto completo:
1
Índice:
WPRIM
Assunto principal:
Edema Encefálico
/
Pressão Intracraniana
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Infarto Cerebral
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Cuidadores
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Hipertensão Intracraniana
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Infarto da Artéria Cerebral Média
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Dependência Psicológica
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Craniectomia Descompressiva
/
Números Necessários para Tratar
Tipo de estudo:
Clinical_trials
/
Etiology_studies
Limite:
Humans
Idioma:
Ko
Revista:
Korean Journal of Cerebrovascular Surgery
Ano de publicação:
2009
Tipo de documento:
Article