title: Surgical decompression after cerebral hemispheric stroke: indications and patient selection.
abstract: Decompressive craniotomy has a place in acute hemispheric infarctions. Patient selection should be guided by CT to exclude those with huge dominant hemispheric lesions that make reasonable neurologic recovery unattainable. Intracranial pressure monitoring should reduce the severity of neurologic sequelae by providing earlier, more timely operative intervention.
mesh_terms: D001929:Brain Edema / Q000601:surgery; D002544:Cerebral Infarction / Q000601:surgery*; D003399:Craniotomy; D005260:Female; D006801:Humans; D007427:Intracranial Pressure; D008875:Middle Aged; D014057:Tomography, X-Ray Computed