decompressive hemicraniectomy for malignant mca ... - RM Solutions

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aseline5 hours28 hours6/23/2011 khathaami 6
Pathophysiology:• Direct mechanical compression of braintissue causing hernaition & death• Global increase in ICP and drop in Cerebralperfusion.• Recruitment of penumbra.Larry et al, 19706/23/2011 khathaami 7
Page 1: DECOMPRESSIVE HEMICRANIECTOMYFOR MA
Page 5: CLINICAL MANIFESTATIONS• Reflect
Page 9 and 10: CT predictors of malignantcourse an
Page 11 and 12: Chemical predictors of badoutcome
Page 13 and 14: • DECIMAL trial (French)• DESTI
Page 15 and 16: Patients included:• Age 18 - 60 y
Page 17 and 18: Patients excluded• Prestroke mRS
Page 19 and 20: Outcome:• Primary outcome m-RS0 -
Page 21 and 22: increase favorable outcome (m-RS 0-
Page 23 and 24: 6/23/2011 khathaami 23
Page 25 and 26: Complications of DHC:• Immediate
Page 27 and 28: • Who should be treated with DHC
Page 29 and 30: Recommendations:• The surgery sho

decompressive hemicraniectomy for malignant mca ... - RM Solutions

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