دورية أكاديمية
Reduction of Midline Shift Following Decompressive Hemicraniectomy for Malignant Middle Cerebral Artery Infarction
| العنوان: | Reduction of Midline Shift Following Decompressive Hemicraniectomy for Malignant Middle Cerebral Artery Infarction |
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| المؤلفون: | Sang-Beom Jeon, Sun U. Kwon, Jung Cheol Park, Deok Hee Lee, Sung-Cheol Yun, Yeon-Jung Kim, Jae-Sung Ahn, Byung-Duk Kwun, Dong-Wha Kang, H. Alex Choi, Kiwon Lee, Jong S. Kim |
| المصدر: | Journal of Stroke, Vol 18, Iss 3, Pp 328-336 (2016) |
| بيانات النشر: | Korean Stroke Society, 2016. |
| سنة النشر: | 2016 |
| المجموعة: | LCC:Diseases of the circulatory (Cardiovascular) system |
| مصطلحات موضوعية: | middle cerebral artery, infarction, decompressive craniectomy, mortality, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| الوصف: | Background and Purpose Hemicraniectomy is a decompressive surgery used to remove a large bone flap to allow edematous brain tissue to bulge extracranially. However, early indicators of the decompressive effects of hemicraniectomy are unclear. We investigated whether reduction of midline shift following hemicraniectomy is associated with improved consciousness and survival in patients with malignant middle cerebral artery infarctions. Methods We studied 70 patients with malignant middle cerebral artery infarctions (MMI) who underwent hemicraniectomies. Midline shift was measured preoperatively and postoperatively using computed tomography (CT). Consciousness level was evaluated using the Glasgow Coma Scale on postoperative day 1. Patient survival was assessed six months after stroke onset. Results The median time interval between preoperative and postoperative CT was 8.3 hours (interquartile range, 6.1–10.2 hours). Reduction in midline shift was associated with higher postoperative Glasgow Coma Scale scores (P |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2287-6391 2287-6405 |
| Relation: | http://www.j-stroke.org/upload/pdf/jos-2016-00262.pdf; https://doaj.org/toc/2287-6391; https://doaj.org/toc/2287-6405 |
| DOI: | 10.5853/jos.2016.00262 |
| URL الوصول: | https://doaj.org/article/a04beda7d86f487bac54c6c05691adc3 |
| رقم الأكسشن: | edsdoj.04beda7d86f487bac54c6c05691adc3 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 22876391 22876405 |
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| DOI: | 10.5853/jos.2016.00262 |