Journal of Neurology & Neurophysiology

ISSN - 2155-9562

Henning Stetefeld

Henning Stetefeld
Department of Neurology, University Hospital Cologne,
Kerpener Str. 62, D-50937 Cologne

  • Case Report
    Decompressive Hemicraniectomy Remains a Physician?s Individual Decision
    Author(s): Catharina Keller and Henning StetefeldCatharina Keller and Henning Stetefeld

    Although the latest trials (DESTINY, DESTINY II, HAMLET, DECIMAL) have provided evidence that decompressive hemicraniectomy in malignant MCA infarction (MMI) can improve survival rates and neurological outcomes, the decision for or against the procedure remains challenging in respect of the inclusion and exclusion criteria, such as the definition of MMI, severity of symptoms at stroke onset and neuroimaging findings. This report focuses on a young patient who suffered an MMI of the right hemisphere. Because of a rapid deterioration in the clinical symptoms, we decided to perform an early decompressive hemicraniectomy after 24h. The patient survived without any complications, and with a favourable outcome (mRS 1). The case shows that young patients in particular can have a remarkable potential for full recovery after an MMI, and t.. Read More»
    DOI: 10.4172/2155-9562.1000211

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