[Malignant cerebral infarction and hemicraniectomy].
BACKGROUND
Malignant cerebral infarction has 80% mortality rate that could be decreased by hemicraniectomy.


METHODS
We retrospectively evaluated medical records of all 12 consecutive patients who underwent hemicraniectomy due to malignant cerebral infarction in Kuopio university hospital between 2003 and 2/2009.


RESULTS
Infarction affected left hemisphere in 4/12 patients and right hemisphere in 8/12 patients. 50% of the patients (6/12) survived. Operation delay was not associated with outcome. Systolic blood pressure in acute phase was significantly lower in survivors as compared to non-survivors (126 +/- 8 mmHg vs 154 +/- 12 mmHg, p < 0.001, respectively).


CONCLUSIONS
Selected patients with malignant cerebral infarction benefit from hemicraniectomy.
Simula
Sakari
S
KYS ja Kuopion yliopisto, neurologian klinikka PL 1777, 70211 Kuopio.
Koivisto
Timo
T
Rinne
Jaakko
J
Vanninen
Ritva
R
Jäkälä
Pekka
P
D000328:Adult; D002544:Cerebral Infarction / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*; D016009:Chi-Square Distribution; D003399:Craniotomy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome