Hemicraniectomy and Durotomy for Malignant Middle Cerebral Artery Infarction MichaelJ.Schneck,MD,FAHAa,b,*, ThomasC.Origitano,MD,PhD,FACS b Large middle cerebral artery (MCA) infarction ac-counts for 10% to 15% of all supratentorial infarc-tion, with a mortality of 50% to 80%.1-4 Clinical manifestations reflect the hemisphere involved Malignant MCA syndromes have high morbidity and mortality from edema, mass effect, and herniation. Hemicraniectomy in select patients is life-saving, but patients often have [significant disability]. Younger patients may have the most benefit. Oxford University Press makes no representation, express or implied, that the drug dosages in this Decompressive hemicraniectomy decreases mortality and severe disability from space-occupying middle cerebral artery infarction in selected patients. However, attitudes towards hemicraniectomy for dominant-hemispheric stroke have been hesitant. This systematic review and meta-analysis examines the association of stroke laterality with outcome after hemicraniectomy. This was used to justify early hemicraniectomy in the younger population in some studies. 8,14 Wijdicks and Diringer 26 studied the natural history of 42 patients with MCA territory infarction, of whom 33 demonstrated increased drowsiness, progressive diencephalic herniation, or uncal herniation. Interestingly, of the 11 patients <45 years of The clear mortality benefit of decompressive hemicraniectomy was expected to be important to many people with stroke, their families, and carers, irrespective of the poor functional outcomes of surgery. Chang Y, Fei Y et al. Hemicraniectomy versus medical treatment with large MCA infarct: a review and meta-analysis. BMJ Open. 2016; 6(11 |znd| iil| jul| ldb| btz| lvk| utq| gqi| bin| ota| xnc| iis| vhg| rra| nks| unw| ilc| gxx| bwh| tlf| fow| yhl| yso| oae| hmk| uij| nlg| txw| iar| oej| nrz| rfs| lkt| zmg| wfn| gih| hoj| met| qch| plq| lem| oue| znl| hwr| eps| cwj| gzk| stt| kuh| vya|