Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1383
2
1
gregorian
2004
5
1
18
1
online
1
fulltext
en
THE EFFICACY OF DECOMPRESSIVE CRANIECTOMY IN TREATMENT OF PATIENTS WITH MASSIVE HEMISPHERIC CEREBRAL INFARCTION
Neurosurgery
Neurosurgery
Original Research: Clinical Science
Original Research: Clinical Science
Massive cerebral infarction is often accompanied by early death, secondary to
brain edema and trans-tentorial herniation. Several reports indicate beneficial effects of
decompressive craniectomy in this situation, but the efficacy of this procedure is still a
matter of debate.
A n experimental study in a period of3 years was done on2 3 patients with brain
edema due to massive cerebral infarction 11 patients were subjects and were operated,
and1 2 were in the non-operated group who only underwent conservative treatment.
A ll patients in this study had GCS below 8.
The m ean age of the operated patients was 54.5 yea r s and f o r the
unoperated patients 64.4 yea r s. Mean GCS in the operated cases was 7.00
and in the unoperated cases was 7.66. In the operated g r o up 4 of 11 patient s
lived (36.4%) and in the u l10perated group1 o f1 2 cases lived ( 8.3%). I n the
living operated cases, 1 had GOS 4 and 3 cases had GOS 3. In unoperated
cases 1 patient lived that had a GOS of2.
These results show that decompressive craniectomy can be an effective lifesaving
procedure for malignant brain edema after cerebral infarction and can also give acceptable
functional recovery.
Decompressive craniectomy, Cerebral infarction, Brain edema.
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http://mjiri.iums.ac.ir/browse.php?a_code=A-10-298-104&slc_lang=en&sid=1
ALI
EBRAHIMI NEJAD
20031947532846003608
20031947532846003608
Yes
From the Departments of*Neurosurgery, **Neurology, and ***Bio-Statistics & Epidemiology. Kerman University of Medical Sciences, Kerman, fran
BEHNAZ
SEDIGHI
20031947532846003609
20031947532846003609
No
FATEMEH
HOSSEIN NAKHAEE
20031947532846003610
20031947532846003610
No