Effect of decompressive craniectomy on malignant middle cerebral artery infarction in old patients
WANG Shen-hao
HOU Li-jun
Abstract：Objective To explore whether decompressive craniectomy can improve prognoses in old patients with malignant middle cerebral artery infarction (MMCAI).Methods The clinical data of 47 old patients with MMCAI,of whom,21 underwent decompressive craniectomy and 26 were conservatively treated from August,2011 to August,2016,were analyzed retrospectively.GOS and modified Rankin Scale (mRS) were used to evaluate the prognoses in all the patients 12 months after the treatment.Results The survival rate (74.4％,15/21) was significantly higher in the decompressive craniectomy group than that (34.6％,9/26) in the conservative treatment group (P＜0.05).The GOS scores and mRS scores were significantly better in the decompressive craniectomy group than those in the conservative treatment group (P＜0.05).Conclusion The decompressive craniectomy can increase survival rate and improve the prognoses in the patients with MMCAI.
Keywords：Malignant infarctionMiddle cerebral arteryDecompressive craniectomyOld patientsPrognosis
Publication Date：2018-02-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 93-95 )