Decompressive Hemicraniectomy in Malignant Middle Cerebral Artery Infarct: A Randomized Controlled Trial Enrolling Patients up to 80 Years Old

2012 ◽  
Vol 17 (2) ◽  
pp. 161-171 ◽  
Author(s):  
Jingwei Zhao ◽  
Ying Ying Su ◽  
Yan Zhang ◽  
Yun Zhou Zhang ◽  
Ruilin Zhao ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Controlled Trial ◽  
Decompressive Hemicraniectomy ◽  
Randomized Controlled ◽  
Middle Cerebral Artery Infarct

scholarly journals Randomized Controlled Trial of Symptomatic Middle Cerebral Artery Stenosis

Stroke ◽  
2012 ◽  
Vol 43 (12) ◽  
pp. 3284-3290 ◽  
Author(s):  
Zhongrong Miao ◽  
Lidan Jiang ◽  
Hao Wu ◽  
Yuhai Bao ◽  
Liqun Jiao ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Controlled Trial ◽  
Artery Stenosis ◽  
Randomized Controlled ◽  
Middle Cerebral Artery Stenosis

scholarly journals Decompressive hemicraniectomy for malignant middle cerebral artery infarct

2014 ◽  
Author(s):  
Bulent Gulensoy ◽  
Mete Karatay ◽  
Yavuz Erdem ◽  
Haydar Celik ◽  
Tuncer Tascioglu ◽  
...  
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Decompressive Hemicraniectomy ◽  
Middle Cerebral Artery Infarct

Decompressive hemicraniectomy after malignant middle cerebral artery infarction: rationale and controversies

2011 ◽  
Vol 30 (6) ◽  
pp. E18 ◽  
Author(s):  
Omar M. Arnaout ◽  
Salah G. Aoun ◽  
H. Hunt Batjer ◽  
Bernard R. Bendok
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Randomized Trials ◽  
Middle Cerebral Artery Infarction ◽  
Decompressive Hemicraniectomy ◽  
Randomized Controlled ◽  
Randomized Controlled Studies ◽  
Life Saving ◽  
Shed Light

Malignant middle cerebral artery stroke carries a very poor prognosis. Significant retrospective data support the hypothesis that decompressive hemicraniectomy decreases mortality rates due to this disease entity. Recently, 3 randomized controlled studies have been published and shed light on these issues and enhance the quality of evidence revolving around this procedure. In this review, the rationale, risks, benefits, and unanswered questions related to hemicraniectomy for acute ischemic stroke are reviewed with an emphasis on how 3 randomized trials have influenced knowledge on this life-saving yet controversial procedure. Further randomized studies are needed to clarify lingering questions regarding age indications and impact on quality of life.

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