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

18 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

Cite this

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title = "Functional outcomes of decompressive hemicraniectomy following malignant middle cerebral artery infarctions: a systematic review",
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.",
keywords = "TERRITORY INFARCTION, SCALE, craniectomy, CLINICAL-COURSE, STROKE, ELDERLY-PATIENTS, stroke, CRANIECTOMY, PROGNOSIS, SURGERY, TRIALS, middle cerebral artery, functional outcome",
author = "Alison McKenna and Wilson, {Colin F.} and Caldwell, {Sheena B.} and David Curran",
year = "2012",
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doi = "10.3109/02688697.2012.654835",
language = "English",
volume = "26",
pages = "310--315",
journal = "British Journal of Neurosurgery",
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Functional outcomes of decompressive hemicraniectomy following malignant middle cerebral artery infarctions: a systematic review. / McKenna, Alison; Wilson, Colin F.; Caldwell, Sheena B.; Curran, David.

In: British Journal of Neurosurgery, Vol. 26, No. 3, 06.2012, p. 310-315.

Research output: Contribution to journalLiterature review

TY - JOUR

T1 - Functional outcomes of decompressive hemicraniectomy following malignant middle cerebral artery infarctions: a systematic review

AU - McKenna, Alison

AU - Wilson, Colin F.

AU - Caldwell, Sheena B.

AU - Curran, David

PY - 2012/6

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N2 - 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.

AB - 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.

KW - TERRITORY INFARCTION

KW - SCALE

KW - craniectomy

KW - CLINICAL-COURSE

KW - STROKE

KW - ELDERLY-PATIENTS

KW - stroke

KW - CRANIECTOMY

KW - PROGNOSIS

KW - SURGERY

KW - TRIALS

KW - middle cerebral artery

KW - functional outcome

U2 - 10.3109/02688697.2012.654835

DO - 10.3109/02688697.2012.654835

M3 - Literature review

VL - 26

SP - 310

EP - 315

JO - British Journal of Neurosurgery

JF - British Journal of Neurosurgery

SN - 0268-8697

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ER -