Decompressive craniotomy for the treatment of malignant infarction of the middle cerebral artery: mortality and outcome
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000700424 |
Resumo: | ABSTRACT Objective To assess, by Rankin scale, the functional disability of patients who had a malignant middle cerebral artery (MCA) ischemic stroke, who underwent decompressive craniotomy (DC) within the first 30 days. Methods A cross-sectional study in a University hospital. Between June 2007 and December 2014, we retrospectively analyzed the records of all patients submitted to DC due to a malignant MCA infarction. The mortality rate was defined during the hospitalization period. The modified outcome Rankin score (mRS) was measured 30 days after the procedure, for stratification of the quality of life. Results The DC mortality rate was 30% (95% CI 14.5 to 51.9) for the 20 patients reported. The mRS 30 days postoperatively was ≥ 4 [3.3 to 6] for all patients thereafter. Conclusion DC is to be considered a real alternative for the treatment of patients with a malignant ischemic MCA infarction. |
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Arquivos de neuro-psiquiatria (Online) |
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Decompressive craniotomy for the treatment of malignant infarction of the middle cerebral artery: mortality and outcomecraniotomycerebral infarctionintracranial hypertensionABSTRACT Objective To assess, by Rankin scale, the functional disability of patients who had a malignant middle cerebral artery (MCA) ischemic stroke, who underwent decompressive craniotomy (DC) within the first 30 days. Methods A cross-sectional study in a University hospital. Between June 2007 and December 2014, we retrospectively analyzed the records of all patients submitted to DC due to a malignant MCA infarction. The mortality rate was defined during the hospitalization period. The modified outcome Rankin score (mRS) was measured 30 days after the procedure, for stratification of the quality of life. Results The DC mortality rate was 30% (95% CI 14.5 to 51.9) for the 20 patients reported. The mRS 30 days postoperatively was ≥ 4 [3.3 to 6] for all patients thereafter. Conclusion DC is to be considered a real alternative for the treatment of patients with a malignant ischemic MCA infarction.Academia Brasileira de Neurologia - ABNEURO2017-07-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000700424Arquivos de Neuro-Psiquiatria v.75 n.7 2017reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/0004-282x20170053info:eu-repo/semantics/openAccessBongiorni,Gianise ToboliskiHockmuller,Marjeane Cristina JaquesKlein,CristiniAntunes,Ápio Cláudio Martinseng2018-04-02T00:00:00Zoai:scielo:S0004-282X2017000700424Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2018-04-02T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Decompressive craniotomy for the treatment of malignant infarction of the middle cerebral artery: mortality and outcome |
title |
Decompressive craniotomy for the treatment of malignant infarction of the middle cerebral artery: mortality and outcome |
spellingShingle |
Decompressive craniotomy for the treatment of malignant infarction of the middle cerebral artery: mortality and outcome Bongiorni,Gianise Toboliski craniotomy cerebral infarction intracranial hypertension |
title_short |
Decompressive craniotomy for the treatment of malignant infarction of the middle cerebral artery: mortality and outcome |
title_full |
Decompressive craniotomy for the treatment of malignant infarction of the middle cerebral artery: mortality and outcome |
title_fullStr |
Decompressive craniotomy for the treatment of malignant infarction of the middle cerebral artery: mortality and outcome |
title_full_unstemmed |
Decompressive craniotomy for the treatment of malignant infarction of the middle cerebral artery: mortality and outcome |
title_sort |
Decompressive craniotomy for the treatment of malignant infarction of the middle cerebral artery: mortality and outcome |
author |
Bongiorni,Gianise Toboliski |
author_facet |
Bongiorni,Gianise Toboliski Hockmuller,Marjeane Cristina Jaques Klein,Cristini Antunes,Ápio Cláudio Martins |
author_role |
author |
author2 |
Hockmuller,Marjeane Cristina Jaques Klein,Cristini Antunes,Ápio Cláudio Martins |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Bongiorni,Gianise Toboliski Hockmuller,Marjeane Cristina Jaques Klein,Cristini Antunes,Ápio Cláudio Martins |
dc.subject.por.fl_str_mv |
craniotomy cerebral infarction intracranial hypertension |
topic |
craniotomy cerebral infarction intracranial hypertension |
description |
ABSTRACT Objective To assess, by Rankin scale, the functional disability of patients who had a malignant middle cerebral artery (MCA) ischemic stroke, who underwent decompressive craniotomy (DC) within the first 30 days. Methods A cross-sectional study in a University hospital. Between June 2007 and December 2014, we retrospectively analyzed the records of all patients submitted to DC due to a malignant MCA infarction. The mortality rate was defined during the hospitalization period. The modified outcome Rankin score (mRS) was measured 30 days after the procedure, for stratification of the quality of life. Results The DC mortality rate was 30% (95% CI 14.5 to 51.9) for the 20 patients reported. The mRS 30 days postoperatively was ≥ 4 [3.3 to 6] for all patients thereafter. Conclusion DC is to be considered a real alternative for the treatment of patients with a malignant ischemic MCA infarction. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-07-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000700424 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000700424 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0004-282x20170053 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.75 n.7 2017 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
||revista.arquivos@abneuro.org |
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1754212782570471424 |