Functional outcomes of decompressive hemicraniectomy following malignant middle cerebral artery infarctions: a systematic review

Abstract Decompressive hemicraniectomy has been used increasingly in recent years to treat malignant middle cerebral artery territory infarction. This review examines functional outcome data, with the novel analysis of outcomes according to temporal periods post-surgery. Case series data were pooled...

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Published inBritish journal of neurosurgery Vol. 26; no. 3; pp. 310 - 315
Main Authors McKenna, Alison, Wilson, Colin F., Caldwell, Sheena B., Curran, David
Format Journal Article
LanguageEnglish
Published England Informa Healthcare 01.06.2012
Taylor & Francis
Taylor & Francis Ltd
Subjects
Adolescent
Adult
Age Factors
Aged
craniectomy
Decompressive Craniectomy - methods
Decompressive Craniectomy - mortality
Female
functional outcome
Humans
Infarction, Middle Cerebral Artery - mortality
Infarction, Middle Cerebral Artery - surgery
Male
Middle Aged
middle cerebral artery
Neurology
Neurosurgery
Sex Factors
Stroke
Surgical outcomes
Survival analysis
Systematic review
Treatment Outcome
Young Adult
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Abstract Abstract Decompressive hemicraniectomy has been used increasingly in recent years to treat malignant middle cerebral artery territory infarction. This review examines functional outcome data, with the novel analysis of outcomes according to temporal periods post-surgery. Case series data were pooled to determine significant correlates of outcome. Severe disability was frequently the outcome among survivors within one month post-surgery. Time and rehabilitation were later reflected, with fewer deaths and the emergence of mild to moderate disability increasing in prevalence. Mortality and severe disability were consistently more probable with increasing age. Presurgical clinical status in the form of additional cerebral artery involvement and midline shift also correlated with mortality within the 30-day period post-stroke.
AbstractList Abstract Decompressive hemicraniectomy has been used increasingly in recent years to treat malignant middle cerebral artery territory infarction. This review examines functional outcome data, with the novel analysis of outcomes according to temporal periods post-surgery. Case series data were pooled to determine significant correlates of outcome. Severe disability was frequently the outcome among survivors within one month post-surgery. Time and rehabilitation were later reflected, with fewer deaths and the emergence of mild to moderate disability increasing in prevalence. Mortality and severe disability were consistently more probable with increasing age. Presurgical clinical status in the form of additional cerebral artery involvement and midline shift also correlated with mortality within the 30-day period post-stroke.
Decompressive hemicraniectomy has been used increasingly in recent years to treat malignant middle cerebral artery territory infarction. This review examines functional outcome data, with the novel analysis of outcomes according to temporal periods post-surgery. Case series data were pooled to determine significant correlates of outcome. Severe disability was frequently the outcome among survivors within one month post-surgery. Time and rehabilitation were later reflected, with fewer deaths and the emergence of mild to moderate disability increasing in prevalence. Mortality and severe disability were consistently more probable with increasing age. Presurgical clinical status in the form of additional cerebral artery involvement and midline shift also correlated with mortality within the 30-day period post-stroke.
Decompressive hemicraniectomy has been used increasingly in recent years to treat malignant middle cerebral artery territory infarction. This review examines functional outcome data, with the novel analysis of outcomes according to temporal periods post-surgery. Case series data were pooled to determine significant correlates of outcome. Severe disability was frequently the outcome among survivors within one month post-surgery. Time and rehabilitation were later reflected, with fewer deaths and the emergence of mild to moderate disability increasing in prevalence. Mortality and severe disability were consistently more probable with increasing age. Presurgical clinical status in the form of additional cerebral artery involvement and midline shift also correlated with mortality within the 30-day period post-stroke. [PUBLICATION ABSTRACT]
Author McKenna, Alison
Wilson, Colin F.
Caldwell, Sheena B.
Curran, David
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Snippet Abstract Decompressive hemicraniectomy has been used increasingly in recent years to treat malignant middle cerebral artery territory infarction. This review...
Decompressive hemicraniectomy has been used increasingly in recent years to treat malignant middle cerebral artery territory infarction. This review examines...
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SubjectTerms Adolescent
Adult
Age Factors
Aged
craniectomy
Decompressive Craniectomy - methods
Decompressive Craniectomy - mortality
Female
functional outcome
Humans
Infarction, Middle Cerebral Artery - mortality
Infarction, Middle Cerebral Artery - surgery
Male
Middle Aged
middle cerebral artery
Neurology
Neurosurgery
Sex Factors
Stroke
Surgical outcomes
Survival analysis
Systematic review
Treatment Outcome
Young Adult
Title Functional outcomes of decompressive hemicraniectomy following malignant middle cerebral artery infarctions: a systematic review
URI https://www.tandfonline.com/doi/abs/10.3109/02688697.2012.654835
https://www.ncbi.nlm.nih.gov/pubmed/22320444
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https://search.proquest.com/docview/1017758679
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