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

Alison McKenna*, Colin F. Wilson, Sheena B. Caldwell, David Curran

*Corresponding author for this work

Research output: Contribution to journalLiterature review

21 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)310-315
Number of pages6
JournalBritish Journal of Neurosurgery
Volume26
Issue number3
DOIs
Publication statusPublished - Jun 2012

Keywords

  • TERRITORY INFARCTION
  • SCALE
  • craniectomy
  • CLINICAL-COURSE
  • STROKE
  • ELDERLY-PATIENTS
  • stroke
  • CRANIECTOMY
  • PROGNOSIS
  • SURGERY
  • TRIALS
  • middle cerebral artery
  • functional outcome

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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