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Time course of hemispheric cerebral volume after decompressive craniectomy in malignant middle cerebral artery stroke

Arquivos de neuro-psiquiatria, 2023-04, Vol.81 (4), p.345-349 [Tạp chí có phản biện]

Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/). ;Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit ( ) 2023 Academia Brasileira de Neurologia. ;This work is licensed under a Creative Commons Attribution 4.0 International License. ;ISSN: 0004-282X ;ISSN: 1678-4227 ;EISSN: 1678-4227 ;DOI: 10.1055/s-0043-1764415 ;PMID: 37160139

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Nhan đề:
Time course of hemispheric cerebral volume after decompressive craniectomy in malignant middle cerebral artery stroke
Tác giả: Rodrigues, Thiago Pereira ; Rodrigues, Mariana Athaniel Silva ; Bocca, Leonardo Favi ; Neto, Feres Eduardo Chaddad ; Cavalheiro, Sergio ; Júnior, Edson Amaro ; Silva, Gisele Sampaio ; Suriano, Italo Capraro ; Centeno, Ricardo Silva
Chủ đề: Adult ; Aged ; Brain Edema - diagnostic imaging ; Brain Edema - etiology ; Brain Edema - surgery ; Decompressive Craniectomy ; Humans ; infarction, middle cerebral artery ; Infarction, Middle Cerebral Artery - diagnostic imaging ; Infarction, Middle Cerebral Artery - surgery ; intracranial pressure ; Ischemic Stroke ; Middle Aged ; NEUROSCIENCES ; Original ; PSYCHIATRY ; Stroke
Là 1 phần của: Arquivos de neuro-psiquiatria, 2023-04, Vol.81 (4), p.345-349
Mô tả: Brain edema is the leading cause of death in patients with malignant middle cerebral artery (MCA) infarction. Midline shift (MLS) has been used as a monohemispheric brain edema marker in several studies; however, it does not precisely measure brain edema. It is now possible to directly measure hemisphere brain volume. Knowledge about the time course of brain edema after malignant middle cerebral artery infarction may contribute to the condition's management. Therefore, our goal was to evaluate the course of brain edema in patients with malignant MCA infarction treated with decompressive craniectomy (DC) using hemispheric volumetric measurements. Patients were selected consecutively from a single tertiary hospital between 2013 and 2019. All patients were diagnosed with malignant middle cerebral artery infarction and underwent a decompressive craniectomy (DC) to treat the ischemic event. All computed tomography (CT) exams performed during the clinical care of these patients were analyzed, and the whole ischemic hemisphere volume was calculated for each CT scan. We analyzed 43 patients (197 CT exams). Patients' mean age at DC was 51.72 [range: 42-68] years. The mean time between the ischemic ictus and DC was 41.88 (range: 6-77) hours. The mean time between the ischemic event and the peak of hemisphere volume was 168.84 (95% confidence interval [142.08, 195.59]) hours. In conclusion, the peak of cerebral edema in malignant MCA infarction after DC occurred on the 7th day (168.84 h) after stroke symptoms onset. Further studies evaluating therapies for brain edema even after DC should be investigated.
Nơi xuất bản: Germany: Thieme Revinter Publicações Ltda
Ngôn ngữ: English;Portuguese
Số nhận dạng: ISSN: 0004-282X
ISSN: 1678-4227
EISSN: 1678-4227
DOI: 10.1055/s-0043-1764415
PMID: 37160139
Nguồn: Freely Accessible Journals
SciELO
MEDLINE
PubMed Central
DOAJ Directory of Open Access Journals

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Time course of hemispheric cerebral volume after decompressive craniectomy in malignant middle cerebral artery stroke

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