Hemicraniectomy for Ischemic and Hemorrhagic Stroke: Facts and Controversies

Aman Gupta, Mithun G. Sattur, Rami James N. Aoun, Chandan Krishna, Patrick B. Bolton, Brian W. Chong, Bart M Demaerschalk, Mark K. Lyons, Jamal McClendon, Naresh Patel, Ayan Sen, Kristin Swanson, Richard S. Zimmerman, Bernard Bendok

Research output: Contribution to journalReview article

2 Scopus citations

Abstract

Malignant large artery stroke is associated with high mortality of 70% to 80% with best medical management. Decompressive craniectomy (DC) is a highly effective tool in reducing mortality. Convincing evidence has accumulated from several randomized trials, in addition to multiple retrospective studies, that demonstrate not only survival benefit but also improved functional outcome with DC in appropriately selected patients. This article explores in detail the evidence for DC, nuances regarding patient selection, and applicability of DC for supratentorial intracerebral hemorrhage and posterior fossa ischemic and hemorrhagic stroke.

Original languageEnglish (US)
Pages (from-to)349-360
Number of pages12
JournalNeurosurgery Clinics of North America
Volume28
Issue number3
DOIs
StatePublished - Jul 1 2017

    Fingerprint

Keywords

  • Cerebellar stroke
  • Cerebral edema
  • Decompressive craniectomy
  • Malignant infarct
  • Modified Rankin score
  • Surgery for stroke

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Gupta, A., Sattur, M. G., Aoun, R. J. N., Krishna, C., Bolton, P. B., Chong, B. W., Demaerschalk, B. M., Lyons, M. K., McClendon, J., Patel, N., Sen, A., Swanson, K., Zimmerman, R. S., & Bendok, B. (2017). Hemicraniectomy for Ischemic and Hemorrhagic Stroke: Facts and Controversies. Neurosurgery Clinics of North America, 28(3), 349-360. https://doi.org/10.1016/j.nec.2017.02.010