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In total,46 patients(73%)survived.Despite complete hemispheric infarction, no survivor suffered from complete hemiplegia or was permanently wheelchair bound.In patients with speech-dominant hemispheric infarction (n=11),only mild to moderate aphasia was present.The mean BI score was 65 and RS score revealed severe handicap in 13%of the patients.In 31 patients with early decompressive surgery,mortality was 16%and BI score 68.8.Early hemicraniectomy led to a significant reduction in the length of time critical care therapy was needed(7.4 versus 13.3 days,P<0.05).In general, the outcome of patients treated with craniectomy in severe ischemic hemispheric infarction was surprisingly good.In addition,early decompressive surgery may further improve outcome in these patients. |
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cerebral edema
cerebral infarction
cerebrovascular accident
cerebrovascular accident,acute management of
cerebrovascular accident,surgical treatment of
craniectomy,decompressive
intracranial pressure,increased
intracranial pressure,increased,treatment of
middle cerebral artery territory infarction
middle cerebral artery territory infarction,malignant
prognosis
treatment of neurologic disorder
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