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CLINICAL CHARACTERISTICS, IMANGING FEATURES, AND FACTORS ASSOCIATED WITH SURGICAL OUTCOMES IN PATIENTS WITH LARGE HEMISPHERIC INFARCTION UNDERGOING DECOMPRESSIVE CRANIECTOMY
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Abstract
We conducted a study on 30 patients with large cerebral infarction who underwent decompressive craniectomy between January 2019 and January 2025 at Hanoi Medical University Hospital. The mean age was 59.1 ± 11.2 years, with a male-to-female ratio of 2.75:1. The mean preoperative NIHSS score was 18.4 ± 3.0, and all patients had ASPECTS ≤ 5. On CT imaging, 76.7% of patients presented with a midline shift < 10 mm, while 23.3% had a shift > 10 mm. At hospital discharge, 90% of patients survived and 10% died. At 6-month follow-up (27 patients), 55,6% achieved a favorable functional outcome (mRS 0–3), whereas 44,4% had an unfavorable outcome (mRS 4–6). Decompressive craniectomy in large cerebral infarction proved to be a feasible and safe therapeutic option, with a low postoperative mortality rate.
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Keywords
Large cerebral infarction, decompressive craniectomy, NIHSS, ASPECTS
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