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[Dislocation syndrome in patients with severe massive ischemic stroke].
A S Nikitin1, V V Krylov2, S A Burov3
1City Clinical Hospital #12.
Massive ischemic stroke (MII) patients with unfavorable dislocation syndrome (DS) face high mortality. Decompressive craniectomy (DC) significantly reduces fatalities in these critical brain injury cases.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Context:
- Massive ischemic stroke (MII) can lead to severe brain complications.
- Dislocation syndrome (DS) is a critical complication of MII.
- Understanding DS progression is vital for patient outcomes.
Purpose:
- To compare brain dislocation severity and progression in MII patients.
- To correlate CT findings and clinical signs of DS.
- To evaluate outcomes based on DS course and treatment.
Summary:
- Analyzed 114 MII patients, stratifying them by DS course (unfavorable vs. favorable).
- Unfavorable DS group (91 patients) showed high mortality, reduced by decompressive craniectomy (DC).
- Favorable DS group (23 patients) had mortality from non-cranial causes.
Impact:
- Unfavorable DS progression (fulminant, progressive, delayed) indicates high mortality risk.
- Decompressive craniectomy (DC) is indicated for unfavorable DS.
- This study refines prognostic indicators for MII with DS.
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