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Journal of Research in Medical Sciences، جلد ۱۵، شماره ۶، صفحات ۳۴۴-۰
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عنوان انگلیسی Effect of decompressive hemicraniectomy on mortality of malignant middle cerebral artery infarction
چکیده انگلیسی مقاله BACKGROUND: Increasing intracranial pressure (ICP) is one of the leading causes of mortality in patients with malignant infarction of the middle cerebral artery (MCA). We prospectively evaluated patients with MCA infarction for one month survival after decompressive hemicraniectomy. METHODS: This study was conducted at Alzahra University Hospital, Isfahan (Iran). Twenty patients with infarction in total MCA distribution area, resulting in midline shift of brain tissue for greater than 5mm, underwent decompressive hemicraniectomy. Mortality rate was estimated one month after surgery. RESULTS: Patients were 8 (40%) males and 12 (60%) females with a mean age of 49.9 ± 3.8 (25 to 70) years. Left and right MCA were involved in 7 (35%) and 13 (65%) patients, respectively. Four (20%) patients died within one month after surgery (3 females and one male, mean age of 59.0 ± 4.5 vs. 47.6 ± 3.4 in survived patients, p < 0.001). The mean of baseline Glasscow Coma Scale (GCS) score estimated 8.60 ± 1.55 in survived patients and 6.75 ± 0.95 in patients who died (p < 0.05). CONCLUSIONS: The survival rate of malignant MCA infarction treated with decompressive hemicraniectomy was the same as previous reports. MCA infarction mortality increased with age and lower admission GCS score. KEYWORDS: Hemicraniectomy, MCA Infarction, Malignant Infarction, Mortality. Normal 0 false false false MicrosoftInternetExplorer4
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نویسندگان مقاله بهرام امین منصور | bahram aminmansour
md, associate professor of neurosurgery, department of neurosurgery, isfahan university of medical sciences, isfahan, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی اصفهان (Isfahan university of medical sciences)

مجید رضوانی | majeed rezvany
md, assistant professor of neurosurgery, department of neurosurgery, isfahan university of medical sciences, isfahan, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی اصفهان (Isfahan university of medical sciences)

داود شریفی | davood sharifi
md, resident of neurosurgery, department of neurosurgery, isfahan university of medical sciences, isfahan, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی اصفهان (Isfahan university of medical sciences)

حمیدرضا شمشکی | hamidreza shemshaki
md, research assistant, medical students research center, isfahan university of medical sciences, isfahan, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی اصفهان (Isfahan university of medical sciences)

نشانی اینترنتی http://jrms.mui.ac.ir/index.php/jrms/article/view/5491
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Short Communications
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