RESULTS OF DECOMPRESS CRANIOECTOMY FOR PATIENT WITH CEREBRAL INFARCTION DUE TO CEREBRAL ARTERY OCCLUTION AT HANOI MEDICAL UNIVERSITY HOSPITAL

Vũ Nguyễn, Kiên Trần Trung

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Abstract

Background: Malignant cerebral infarction is a severe condition with high mortality rates. Decompressive craniectomy may improve patient outcomes. Objective: To evaluate the resuscitation outcomes of patients with severe cerebral infarction due to MCA and posterior fossa occlusion who underwent decompressive craniectomy. Methods: A non-controlled interventional study was conducted on 58 patients (53 with MCA infarction, 5 with posterior fossa infarction) at Hanoi Medical University Hospital from 2016 to 2021. Results: The overall 90-day mortality rate was 22.6%, with no deaths in the posterior fossa infarction group. The proportion of patients with a favorable clinical outcome (mRS 0-3) after 90 days was 39.6%, reaching 80% in the posterior fossa infarction group. Favorable prognostic factors included age ≤ 60, NIHSS score ≤ 18, ASPECTs score 4-6, isolated MCA occlusion, and timely reperfusion therapy during the “golden hour.” Conclusion: Decompressive craniectomy improves prognosis in malignant cerebral infarction, particularly in posterior fossa infarction. Early intervention and reperfusion therapy play a crucial role in clinical outcomes.

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References

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