Management of massive hemispheric cerebral infarct: is there a ray of hope?

Abstract:

:Catastrophic infarcts of the cerebral hemisphere often involve occlusion of the middle cerebral artery. In approximately 50% of these patients, consciousness declines because of brain swelling. Management includes prevention of further systemic complications, and recent studies have suggested that decompressive hemicraniectomy or moderate hypothermia may improve outcome. Mortality may be decreased, but morbidity should be carefully evaluated in clinical trials before these interventions are accepted as standard.

journal_name

Mayo Clin Proc

journal_title

Mayo Clinic proceedings

authors

Wijdicks EF

doi

10.4065/75.9.945

keywords:

subject

Has Abstract

pub_date

2000-09-01 00:00:00

pages

945-52

issue

9

eissn

0025-6196

issn

1942-5546

pii

S0025-6196(11)64646-6

journal_volume

75

pub_type

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