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Medical Journal of Islamic Republic of Iran، جلد ۱۸، شماره ۱، صفحات ۷-۱۱
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عنوان انگلیسی THE EFFICACY OF DECOMPRESSIVE CRANIECTOMY IN TREATMENT OF PATIENTS WITH MASSIVE HEMISPHERIC CEREBRAL INFARCTION
چکیده انگلیسی مقاله Massive cerebral infarction is often accompanied by early death, secondary to brain edema and trans-tentorial herniation. Several reports indicate beneficial effects of decompressive craniectomy in this situation, but the efficacy of this procedure is still a matter of debate. A n experimental study in a period of3 years was done on2 3 patients with brain edema due to massive cerebral infarction 11 patients were subjects and were operated, and1 2 were in the non-operated group who only underwent conservative treatment. A ll patients in this study had GCS below 8. The m ean age of the operated patients was 54.5 yea r s and f o r the unoperated patients 64.4 yea r s. Mean GCS in the operated cases was 7.00 and in the unoperated cases was 7.66. In the operated g r o up 4 of 11 patient s lived (36.4%) and in the u l10perated group1 o f1 2 cases lived ( 8.3%). I n the living operated cases, 1 had GOS 4 and 3 cases had GOS 3. In unoperated cases 1 patient lived that had a GOS of2. These results show that decompressive craniectomy can be an effective lifesaving procedure for malignant brain edema after cerebral infarction and can also give acceptable functional recovery.
کلیدواژه‌های انگلیسی مقاله Decompressive craniectomy, Cerebral infarction, Brain edema.
نویسندگان مقاله علی ابراهیمی نژاد | ali ebrahimi nejad
from the departments of neurosurgery, neurology, and bio-statistics amp; epidemiology. kerman university of medical sciences, kerman, fran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی کرمان (Kerman university of medical sciences)

بهناز صدیقی | behnaz sedighi
flvm the departments ol neurosurgery, neulvlogy, and bio-statistics epidemiology. kerman university olmedical sci

سازمان اصلی تایید شده: دانشگاه علوم پزشکی کرمان (Kerman university of medical sciences)

فاطمه حسین نخعی | fatemeh hossein nakhaee
flvm the departments ol neurosurgery, neulvlogy, and bio-statistics epidemiology. kerman university olmedical sci

سازمان اصلی تایید شده: دانشگاه علوم پزشکی کرمان (Kerman university of medical sciences)

نشانی اینترنتی http://mjiri.iums.ac.ir/browse.php?a_code=A-10-298-104&slc_lang=en&sid=en
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