Surgical Chance of Operation in Decompressive Craniectomy in Malignant Middle Cerebral Artery Syndrome_Chinese Journal of Evidence-Based Medicine

Authors：

ZHAO Qiang , WANG Dequan , HE Dongsheng , DENG Zengfu , FAN Wei

Sichuan Ziyang Second Hospital; Jianyang 641400 China;

Corresponding author：

Keywords：

Malignant middle cerebral artery syndrome; Cerebral infarction; Surgical treatment; Surgical chance

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Objective 　To discuss the optimal time for operation in patients with malignant middle cerebral artery (MCA) syndrome.
Method 　The relation between effectiveness and operating time was analyzed in 47 patients to compare the effects of early and delayed operation by SPSS10.0.
Results 　Among 27 patients undergoing early operation, 18 were cured or restored, 4 seriously disabled and 5 died. While among 20 patients undergoing delayed operation, only 9 were cured or restored, 4 seriously disabled and 7 died. The prognosis of delayed operation group was worse than that of early operation group.
Conclusions 　Selecting the optimal time to operate may decrease the mortality and morbidity of MCA syndrome.

Citation： ZHAO Qiang,WANG Dequan,HE Dongsheng,DENG Zengfu,FAN Wei. Surgical Chance of Operation in Decompressive Craniectomy in Malignant Middle Cerebral Artery Syndrome. Chinese Journal of Evidence-Based Medicine, 2004, 04(3): 212-214. doi: Copy

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5.	［4］Doerller A, Engelhom T, Heiand S,Benner T, Forsting M.Perfusion-and diffusion-weighted magnetic resonance images for monitoring decompressive craniectomy in animals with experimental hemispheric strike [ J ]. J Neurosurg , 2002; 96( 5 ) :933-940.
6.	［5］Manno EM, Adams RE, Derdeyn CP, Powers WJ, Deringer MN . The effects of mannitol on cerebral edema after large hemispheric cerebral infarct [ J ]. Neurology, 1999 ;52 (3) :583-587.
7.	［6］Schwab S , Steiner T , AschoffA , Schwarz S , Steiner HH ,Jansen O, Hacke W. Early hemicraniectomy in patients with complete middle cerbral artery infarction[J]. Stroke, 1998; 29(9): 1 888-1 893.
8.	［7］Cho DY , Chen TC , Lee HC. Ultra - early decompressive craniectomy for malignant middle cerebral artery infarction[J].Surg Neurol, 2003 ;60(3 ) :227-232.

1. ［1］Kuroki K, Taguchi H, Sumida M,Yukawa O, Murakami T,Onda J, Eguchi K. Decompressive craniectomy for massive infartion of middle cerebral artery terrtory [ J ]. No Shinkei Geka, 2001 ;29(9) :831-835.
2. ［2］Wijdicks EF, Diringer MN: Middle cerebral artery terrtory infarction and early brain swelling: progression and effect of age on outcome[J]. Mayo Clin. Proc, 1998;73(9) :829-836.
3. ［3］Ma DZ, Yang L, Hao ZD. The effect of later surgery for unilateral cerebal hemisphere complete infarction[J]. Chinese Journal of Critical Care Medicine, 2003 ;23( 1 ) :51.
4. 马东周,杨玲,郗振东.单侧大脑半球完全梗死延迟手术的疗效[J].中国急救医学,2003;23(1):51.
5. ［4］Doerller A, Engelhom T, Heiand S,Benner T, Forsting M.Perfusion-and diffusion-weighted magnetic resonance images for monitoring decompressive craniectomy in animals with experimental hemispheric strike [ J ]. J Neurosurg , 2002; 96( 5 ) :933-940.
6. ［5］Manno EM, Adams RE, Derdeyn CP, Powers WJ, Deringer MN . The effects of mannitol on cerebral edema after large hemispheric cerebral infarct [ J ]. Neurology, 1999 ;52 (3) :583-587.
7. ［6］Schwab S , Steiner T , AschoffA , Schwarz S , Steiner HH ,Jansen O, Hacke W. Early hemicraniectomy in patients with complete middle cerbral artery infarction[J]. Stroke, 1998; 29(9): 1 888-1 893.
8. ［7］Cho DY , Chen TC , Lee HC. Ultra - early decompressive craniectomy for malignant middle cerebral artery infarction[J].Surg Neurol, 2003 ;60(3 ) :227-232.

Chinese Journal of Evidence-Based Medicine

Surgical Chance of Operation in Decompressive Craniectomy in Malignant Middle Cerebral Artery Syndrome

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