decompressive hemicraniectomy for malignant mca ... - RM Solutions

More documents

Recommendations

Info

Clinical Predictors of <strong>malignant</strong>course:• Younger age.• ≥ 50 % infarct of MCA territory.• Other vascular territories ( ACA, PCA )• Severe stroke:– NIHSS ≥ 20 (dominant).– NIHSS ≥ 15 (non-dominant).• Others: HTN, CHF, high BS, N&VKrieger et al, 19996/23/2011 khathaami 8
CT predictors of <strong>malignant</strong>course and death:• Anteroseptal shift (>5 versus /=2 mm Mortality80 %• Hydrocephalus• Temporal lobe infarction• other vascular territory infarctionBarber et al 20036/23/2011 khathaami 9
Page 1: DECOMPRESSIVE HEMICRANIECTOMYFOR MA
Page 5 and 6: CLINICAL MANIFESTATIONS• Reflect
Page 7: Pathophysiology:• Direct mechanic
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

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?