Decompressive craniotomy for the treatment of malignant infarction of the middle cerebral artery: mortality and outcome
ABSTRACT Objective To assess, by Rankin scale, the functional disability of patients who had a malignant middle cerebral artery (MCA) ischemic stroke, who underwent decompressive craniotomy (DC) within the first 30 days. Methods A cross-sectional study in a University hospital. Between June 2007...
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| Format: | Article |
| Language: | English |
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Academia Brasileira de Neurologia (ABNEURO)
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000700424&lng=en&tlng=en |
| _version_ | 1811293187166175232 |
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| author | Gianise Toboliski Bongiorni Marjeane Cristina Jaques Hockmuller Cristini Klein Ápio Cláudio Martins Antunes |
| author_facet | Gianise Toboliski Bongiorni Marjeane Cristina Jaques Hockmuller Cristini Klein Ápio Cláudio Martins Antunes |
| author_sort | Gianise Toboliski Bongiorni |
| collection | DOAJ |
| description | ABSTRACT Objective To assess, by Rankin scale, the functional disability of patients who had a malignant middle cerebral artery (MCA) ischemic stroke, who underwent decompressive craniotomy (DC) within the first 30 days. Methods A cross-sectional study in a University hospital. Between June 2007 and December 2014, we retrospectively analyzed the records of all patients submitted to DC due to a malignant MCA infarction. The mortality rate was defined during the hospitalization period. The modified outcome Rankin score (mRS) was measured 30 days after the procedure, for stratification of the quality of life. Results The DC mortality rate was 30% (95% CI 14.5 to 51.9) for the 20 patients reported. The mRS 30 days postoperatively was ≥ 4 [3.3 to 6] for all patients thereafter. Conclusion DC is to be considered a real alternative for the treatment of patients with a malignant ischemic MCA infarction. |
| first_indexed | 2024-04-13T04:57:46Z |
| format | Article |
| id | doaj.art-232efb145eef445785e90bc0992e9b3e |
| institution | Directory Open Access Journal |
| issn | 1678-4227 |
| language | English |
| last_indexed | 2024-04-13T04:57:46Z |
| publisher | Academia Brasileira de Neurologia (ABNEURO) |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj.art-232efb145eef445785e90bc0992e9b3e2022-12-22T03:01:26ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-422775742442810.1590/0004-282x20170053S0004-282X2017000700424Decompressive craniotomy for the treatment of malignant infarction of the middle cerebral artery: mortality and outcomeGianise Toboliski BongiorniMarjeane Cristina Jaques HockmullerCristini KleinÁpio Cláudio Martins AntunesABSTRACT Objective To assess, by Rankin scale, the functional disability of patients who had a malignant middle cerebral artery (MCA) ischemic stroke, who underwent decompressive craniotomy (DC) within the first 30 days. Methods A cross-sectional study in a University hospital. Between June 2007 and December 2014, we retrospectively analyzed the records of all patients submitted to DC due to a malignant MCA infarction. The mortality rate was defined during the hospitalization period. The modified outcome Rankin score (mRS) was measured 30 days after the procedure, for stratification of the quality of life. Results The DC mortality rate was 30% (95% CI 14.5 to 51.9) for the 20 patients reported. The mRS 30 days postoperatively was ≥ 4 [3.3 to 6] for all patients thereafter. Conclusion DC is to be considered a real alternative for the treatment of patients with a malignant ischemic MCA infarction.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000700424&lng=en&tlng=encraniotomycerebral infarctionintracranial hypertension |
| spellingShingle | Gianise Toboliski Bongiorni Marjeane Cristina Jaques Hockmuller Cristini Klein Ápio Cláudio Martins Antunes Decompressive craniotomy for the treatment of malignant infarction of the middle cerebral artery: mortality and outcome Arquivos de Neuro-Psiquiatria craniotomy cerebral infarction intracranial hypertension |
| title | Decompressive craniotomy for the treatment of malignant infarction of the middle cerebral artery: mortality and outcome |
| title_full | Decompressive craniotomy for the treatment of malignant infarction of the middle cerebral artery: mortality and outcome |
| title_fullStr | Decompressive craniotomy for the treatment of malignant infarction of the middle cerebral artery: mortality and outcome |
| title_full_unstemmed | Decompressive craniotomy for the treatment of malignant infarction of the middle cerebral artery: mortality and outcome |
| title_short | Decompressive craniotomy for the treatment of malignant infarction of the middle cerebral artery: mortality and outcome |
| title_sort | decompressive craniotomy for the treatment of malignant infarction of the middle cerebral artery mortality and outcome |
| topic | craniotomy cerebral infarction intracranial hypertension |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000700424&lng=en&tlng=en |
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