DECOMPRESSIVE HEMICRANIECTOMY AFTER UNSUCCESSFUL INTRAVENOUS THROMBOLYSIS OF MALIGNANT MIDDLE CEREBRAL ARTERY INFARCTION: A CASE REPORT
Objective: The gold standard treatment for patients with cerebral infarction (CI) is intravenous thrombolysis, and it is superior to standard therapy in improving functional status. Malignant middle cerebral artery infarction (MMCAI) is characterized by ischemic injury of 50% or more of the territor...
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| Format: | Article |
| Language: | English |
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Avicenna Tajik State Medical University
2023-09-01
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| Series: | Паёми Сино |
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| Online Access: | https://doi.org/10.25005/2074-0581-2023-25-3-431-440 |
| _version_ | 1827812652973293568 |
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| author | S.M. SEHWEIL |
| author_facet | S.M. SEHWEIL |
| author_sort | S.M. SEHWEIL |
| collection | DOAJ |
| description | Objective: The gold standard treatment for patients with cerebral infarction (CI) is intravenous thrombolysis, and it is superior to standard therapy in improving functional status. Malignant middle cerebral artery infarction (MMCAI) is characterized by ischemic injury of 50% or more of the territory supplied by MCA, which, in turn, is a contraindication to thrombolytic therapy. When patients are admitted to the hospital within the therapeutic window before identification of a hypodense lesion by computed tomography, detecting the MMCAI promptly is challenging. Consequently, these patients receive intravenous thrombolysis. The article describes a successful decompressive hemicraniectomy (DHC) in a patient with MMCAI following ineffective, uncomplicated intravenous thrombolysis. |
| first_indexed | 2024-03-11T23:21:27Z |
| format | Article |
| id | doaj.art-62d10654970a43d8b8bbfcee868b58a3 |
| institution | Directory Open Access Journal |
| issn | 2074-0581 2959-6327 |
| language | English |
| last_indexed | 2024-03-11T23:21:27Z |
| publishDate | 2023-09-01 |
| publisher | Avicenna Tajik State Medical University |
| record_format | Article |
| series | Паёми Сино |
| spelling | doaj.art-62d10654970a43d8b8bbfcee868b58a32023-09-20T13:31:50ZengAvicenna Tajik State Medical UniversityПаёми Сино2074-05812959-63272023-09-0125343144010.25005/2074-0581-2023-25-3-431-440DECOMPRESSIVE HEMICRANIECTOMY AFTER UNSUCCESSFUL INTRAVENOUS THROMBOLYSIS OF MALIGNANT MIDDLE CEREBRAL ARTERY INFARCTION: A CASE REPORTS.M. SEHWEIL0Department of Neurology and Neurosurgery, Rostov State Medical University, Rostov-on-Don, Russian FederationObjective: The gold standard treatment for patients with cerebral infarction (CI) is intravenous thrombolysis, and it is superior to standard therapy in improving functional status. Malignant middle cerebral artery infarction (MMCAI) is characterized by ischemic injury of 50% or more of the territory supplied by MCA, which, in turn, is a contraindication to thrombolytic therapy. When patients are admitted to the hospital within the therapeutic window before identification of a hypodense lesion by computed tomography, detecting the MMCAI promptly is challenging. Consequently, these patients receive intravenous thrombolysis. The article describes a successful decompressive hemicraniectomy (DHC) in a patient with MMCAI following ineffective, uncomplicated intravenous thrombolysis.https://doi.org/10.25005/2074-0581-2023-25-3-431-440malignant ischemic strokemiddle cerebral arterdecompressive hemicraniectomythrombolysis. |
| spellingShingle | S.M. SEHWEIL DECOMPRESSIVE HEMICRANIECTOMY AFTER UNSUCCESSFUL INTRAVENOUS THROMBOLYSIS OF MALIGNANT MIDDLE CEREBRAL ARTERY INFARCTION: A CASE REPORT Паёми Сино malignant ischemic stroke middle cerebral arter decompressive hemicraniectomy thrombolysis. |
| title | DECOMPRESSIVE HEMICRANIECTOMY AFTER UNSUCCESSFUL INTRAVENOUS THROMBOLYSIS OF MALIGNANT MIDDLE CEREBRAL ARTERY INFARCTION: A CASE REPORT |
| title_full | DECOMPRESSIVE HEMICRANIECTOMY AFTER UNSUCCESSFUL INTRAVENOUS THROMBOLYSIS OF MALIGNANT MIDDLE CEREBRAL ARTERY INFARCTION: A CASE REPORT |
| title_fullStr | DECOMPRESSIVE HEMICRANIECTOMY AFTER UNSUCCESSFUL INTRAVENOUS THROMBOLYSIS OF MALIGNANT MIDDLE CEREBRAL ARTERY INFARCTION: A CASE REPORT |
| title_full_unstemmed | DECOMPRESSIVE HEMICRANIECTOMY AFTER UNSUCCESSFUL INTRAVENOUS THROMBOLYSIS OF MALIGNANT MIDDLE CEREBRAL ARTERY INFARCTION: A CASE REPORT |
| title_short | DECOMPRESSIVE HEMICRANIECTOMY AFTER UNSUCCESSFUL INTRAVENOUS THROMBOLYSIS OF MALIGNANT MIDDLE CEREBRAL ARTERY INFARCTION: A CASE REPORT |
| title_sort | decompressive hemicraniectomy after unsuccessful intravenous thrombolysis of malignant middle cerebral artery infarction a case report |
| topic | malignant ischemic stroke middle cerebral arter decompressive hemicraniectomy thrombolysis. |
| url | https://doi.org/10.25005/2074-0581-2023-25-3-431-440 |
| work_keys_str_mv | AT smsehweil decompressivehemicraniectomyafterunsuccessfulintravenousthrombolysisofmalignantmiddlecerebralarteryinfarctionacasereport |