Document Detail

Decompressive craniectomy for massive cerebral infarction with enlarged cruciate duraplasty.
MedLine Citation:
PMID:  17978881     Owner:  NLM     Status:  MEDLINE    
The use of decompressive craniectomy for massive cerebral infarction is attracting renewed interest because conventional medical treatment is associated with high mortality. The technique of duraplasty may be important. We have developed a 4 step volume-enlarged cruciate duraplasty and report its use in 12 patients with massive cerebral infarction. None of the patients needed an additional anterior temporal lobectomy to reduce intraoperative intracranial pressure and none suffered epilepsy after the operation. This initial experience suggests that the use of a stepwise cruciate duraplasty during a decompression may promote clinical outcomes and further evaluation is merited.
Y Yao; Y Mao; L Zhou
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-11-05
Journal Detail:
Title:  Acta neurochirurgica     Volume:  149     ISSN:  0942-0940     ISO Abbreviation:  Acta Neurochir (Wien)     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-12-13     Completed Date:  2008-01-18     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0151000     Medline TA:  Acta Neurochir (Wien)     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  1219-21; discussion 1221     Citation Subset:  IM    
Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, PR China.
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MeSH Terms
Brain Edema / radiography,  surgery*
Craniotomy / methods*
Decompression, Surgical
Dura Mater / radiography,  surgery*
Encephalocele / radiography,  surgery*
Epilepsy / prevention & control,  radiography
Infarction, Middle Cerebral Artery / radiography,  surgery*
Middle Aged
Neurologic Examination
Postoperative Complications / prevention & control,  radiography
Tomography, X-Ray Computed
Treatment Outcome

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