Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Outcome after external decompression for massive cerebral infarction

K Sakai1, K Iwahashi, K Terada

  • 1Department of Neurosurgery, Kagawa Prefectural Central Hospital, Takamatsu, Japan.

Neurologia Medico-Chirurgica
|May 23, 1998
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Association between <i>N</i>-methyl-D-aspartate Receptor Subunit 2B Gene Polymorphisms and Personality Traits in a Young Japanese Population.

East Asian archives of psychiatry : official journal of the Hong Kong College of Psychiatrists = Dong Ya jing shen ke xue zhi : Xianggang jing shen ke yi xue yuan qi kan·2018
Same author

Effects of orthotic therapeutic electrical stimulation in the treatment of patients with paresis associated with acute cervical spinal cord injury: a randomized control trial.

Spinal cord·2017
Same author

Ethanol metabolism, toxicity and genetic polymorphism.

Addiction biology·2016
Same author

Hemodynamics and oxygen consumption during warm heart surgery.

Journal of anesthesia·2013
Same author

Acute suppurative pancreatic ductitis associated with pancreatic duct obstruction.

Endoscopy·2013
Same author

Characteristics of Japanese alcoholics with inactive aldehyde dehydrogenase: clinical features of alcoholics with ALDH2*2.

Addiction biology·2010

External decompression surgery can save lives in patients with massive cerebral infarction. This treatment offers a chance for a reasonable quality of life, even after severe strokes.

Area of Science:

  • Neurosurgery
  • Neurology
  • Critical Care Medicine

Background:

  • Massive cerebral edema from acute ischemic stroke can lead to tentorial herniation and death.
  • Medical therapy is often insufficient for patients with impending herniation.

Purpose of the Study:

  • To evaluate the effectiveness of external decompression for massive cerebral infarction.
  • To identify prognostic factors influencing outcomes after decompressive surgery.

Main Methods:

  • External decompression surgery was performed on 24 patients with massive cerebral infarction and impending herniation.
  • Neurological outcomes were assessed using the Glasgow Outcome Scale at 2 months.
  • Prognostic factors including age, stroke territory, and herniation stage were analyzed.

Related Experiment Videos

Main Results:

  • Overall mortality was 33% (8/24 patients).
  • Severe disability occurred in 14 patients, with 2 in a vegetative state.
  • No specific preoperative variable significantly correlated with mortality, though certain factors indicated higher risk.

Conclusions:

  • External decompression is a life-saving intervention for massive cerebral infarction.
  • The procedure can lead to a reasonable quality of life, even in dominant hemisphere strokes.
  • Prompt surgical consideration is advised when CT scans show descending tentorial herniation.