title: [Decompressive craniotomy in the complex intensive treatment of malignant forms of massive ischemic stroke].
abstract: A group of patients with benign course of massive ischemic stroke (MII) without development of the dislocation syndrome and a group of patients with malignant course with development of the hemispheric brain edema with the following transtentorial herniation were singled out. Risk factors for the development of malignant form of MII and its fatal outcomes were specified as lateral dislocation (>7 mm), more than 70% of ischemia size in frontal and parietal lobes and more than 80% - in temporal lobes, the disturbance of wakefulness up to moderate coma or more. Based on these results, it was selected patients for decompressive craniotomy in the affected hemisphere that allowed to reduce the fatality rate by more than twice compared to patients treated without surgery.
authors.forename: V V
authors.initials: VV
authors.lastname: Krylov
authors.forename: A S
authors.initials: AS
authors.lastname: Nikitin
authors.forename: S A
authors.initials: SA
authors.lastname: Burov
authors.forename: S S
authors.initials: SS
authors.lastname: Petrikov
authors.forename: S A
authors.initials: SA
authors.lastname: Asratian
authors.forename: A Iu
authors.initials: AIu
authors.lastname: Averin
authors.forename: E V
authors.initials: EV
authors.lastname: Kol'iak
mesh_terms: D000368:Aged; D003399:Craniotomy / Q000379:methods*; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D011446:Prospective Studies; D012189:Retrospective Studies; D020521:Stroke / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed