Evaluation of clinical significance of decompressive suboccipital craniectomy on the prognosis of cerebellar infarction
| العنوان: | Evaluation of clinical significance of decompressive suboccipital craniectomy on the prognosis of cerebellar infarction |
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| المؤلفون: | Suyama, Yoshio, Wakabayashi, Shinichi, Aihara, Hiroshi, Ebiko, Yusuke, Kajikawa, Hiroshi, Nakahara, Ichiro |
| المصدر: | Fujita Medical Journal, Vol 5, Iss 1, Pp 21-24 (2019) Fujita Medical Journal |
| بيانات النشر: | Fujita Medical Society, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | lcsh:R5-920, decompressive suboccipital craniectomy, outcome, Original Article, ventricular drainage, lcsh:Medicine (General), cerebellar infarction |
| الوصف: | Objective: The decision of whether and/or when to treat cerebellar infarction surgically remains controversial. We investigated the effectiveness of decompressive suboccipital craniectomy (DSC) for treating cerebellar infarction and the prognostic factors that affect the surgical results. Methods: From October 2006 to June 2017, a total of 14 consecutive patients (12 men, 2 women; mean±SD age 65±12 years, range 42–84 years) were admitted to our hospital and underwent DSC at the time of admission or during their hospitalization. Inclusion criteria were (1) a level of consciousness below Glasgow Coma Scale (GCS) 13, and/or (2) brainstem compression and/or obstructive hydrocephalus caused by brain edema due to cerebellar infarction. Ventricular drainage was performed simultaneously or later, according to the surgeon’s decision. Results: At the 90-day point, 12 of the 14 patients (85.7%) had survived, 10 (71.4%) of whom were independent (modified Rankin scale ≤2). Four (28.6%) were either completely dependent or dead. Comparisons between good and poor prognoses showed that the factors affecting the prognosis were lesions other than the cerebellar infarction (p |
| اللغة: | English |
| تدمد: | 2189-7255 2189-7247 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=pmid_dedup__::2273ec44585ffab1c5e5aa875660d7b8Test https://www.jstage.jst.go.jp/article/fmj/5/1/5_2018-010/_pdf/-char/enTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.pmid.dedup....2273ec44585ffab1c5e5aa875660d7b8 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 21897255 21897247 |
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