کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3060657 | 1187454 | 2012 | 4 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Postoperative midline shift as secondary screening for the long-term outcomes of surgical decompression of malignant middle cerebral artery infarcts Postoperative midline shift as secondary screening for the long-term outcomes of surgical decompression of malignant middle cerebral artery infarcts](/preview/png/3060657.png)
Decompressive hemicraniectomy (DC) can save the lives of patients with malignant middle cerebral artery (MCA) infarction. We proposed that postoperative midline shift is important for the long-term outcome of patients with MCA infarction. We conducted a retrospective study of DC in 38 patients with malignant MCA infarction. The long-term outcome was assessed one year after surgery using the modified Rankin Scale (mRS) score. Patients who had midline shift less than the optimal diagnostic cut-off point on the fourth postoperative day were classified as having a successful decompression and the remaining patients were classified in the failed decompression group. The successful decompression group mRS score was 4.20 ± 0.89 one year after surgery and the failed decompression group mRS score was 5.11 ± 0.76 (p < 0.0001). Successful decompression, resulting in postoperative midline shift of less than 5 mm, was a key factor for beneficial, long-term functional outcomes in patients with malignant MCA infarction.
Journal: Journal of Clinical Neuroscience - Volume 19, Issue 5, May 2012, Pages 661–664