How much space is needed for decompressive surgery in malignant middle cerebral artery infarction: Enabling single-stage surgery.

ABSTRACT:

Introduction

Decompressive hemicraniectomy (DCE) is routinely performed for intracranial pressure control after malignant middle cerebral artery (MCA) infarction. Decompressed patients are at risk of traumatic brain injury and the syndrome of the trephined until cranioplasty. Cranioplasty after DCE is itself associated with high complication rates. Single-stage surgical strategies may eliminate the need for follow-up surgery while allowing for safe brain expansion and protection from environmental factors.

Research question

Assess the volume needed for safe expansion of the brain to enable single-stage surgery.

Materials and methods

We performed a retrospective radiological and volumetric analysis of all patients that had DCE in our clinic between January 2009 and Dec

SUBMITTER: Montalbetti M 

PROVIDER: S-EPMC10293220 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature