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 R. Bendok

doi:10.1016/j.nec.2017.02.010

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 R. Bendok

Research output: Contribution to journal › Review article › peer-review

4 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 language	English (US)
Pages (from-to)	349-360
Number of pages	12
Journal	Neurosurgery clinics of North America
Volume	28
Issue number	3
DOIs	https://doi.org/10.1016/j.nec.2017.02.010
State	Published - Jul 2017

Keywords

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

ASJC Scopus subject areas

Surgery
Clinical Neurology

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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. R. (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

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title = "Hemicraniectomy for Ischemic and Hemorrhagic Stroke: Facts and Controversies",

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.",

keywords = "Cerebellar stroke, Cerebral edema, Decompressive craniectomy, Malignant infarct, Modified Rankin score, Surgery for stroke",

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

note = "Publisher Copyright: {\textcopyright} 2017 Elsevier Inc.",

year = "2017",

month = jul,

doi = "10.1016/j.nec.2017.02.010",

language = "English (US)",

volume = "28",

pages = "349--360",

journal = "Neurosurgery clinics of North America",

issn = "1042-3680",

publisher = "W.B. Saunders Ltd",

number = "3",

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TY - JOUR

T1 - Hemicraniectomy for Ischemic and Hemorrhagic Stroke

T2 - Facts and Controversies

AU - Gupta, Aman

AU - Sattur, Mithun G.

AU - Aoun, Rami James N.

AU - Krishna, Chandan

AU - Bolton, Patrick B.

AU - Chong, Brian W.

AU - Demaerschalk, Bart M.

AU - Lyons, Mark K.

AU - McClendon, Jamal

AU - Patel, Naresh

AU - Sen, Ayan

AU - Swanson, Kristin

AU - Zimmerman, Richard S.

AU - Bendok, Bernard R.

PY - 2017/7

Y1 - 2017/7

N2 - 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.

AB - 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.

KW - Cerebellar stroke

KW - Cerebral edema

KW - Decompressive craniectomy

KW - Malignant infarct

KW - Modified Rankin score

KW - Surgery for stroke

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U2 - 10.1016/j.nec.2017.02.010

DO - 10.1016/j.nec.2017.02.010

M3 - Review article

C2 - 28600010

AN - SCOPUS:85020890237

SN - 1042-3680

VL - 28

SP - 349

EP - 360

JO - Neurosurgery clinics of North America

JF - Neurosurgery clinics of North America

IS - 3

ER -

Hemicraniectomy for Ischemic and Hemorrhagic Stroke: Facts and Controversies

Abstract

Keywords

ASJC Scopus subject areas

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