Decompressive hemicraniectomy for acute cerebral attacks complicated with brain dislocation syndrome

Authors

  • N. E. Polishchuk Kiev Emergency Clinical Hospital, Kiev, Ukraine
  • G. V. Koryunenko Kiev Emergency Clinical Hospital, Kiev, Ukraine
  • A. A. Kaminsky Kiev Emergency Clinical Hospital, Kiev, Ukraine
  • O. M. Goncharuk Kiev Emergency Clinical Hospital, Kiev, Ukraine

Abstract

Admission of patients with malignant cerebral infarction into the specialized neurosurgical departments with round-the-clock CT or MRI diagnostics and betimes identification of brain displacement and emergency surgical intervention allowed to decrease mortality from 80 to 30% without simultaneous grows of severely disabled patients’ number. Appropriate management of patients with acute vascular attack with emphasize on blood rheology prevents brain displacement. We consider surgical decompression of the infarcted brain with the first signs (clinical as well as CT/MRI) of brain displacement. Trepanation window should be sufficient, it should extend over the entire hemisphere.

References

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How to Cite

Polishchuk, N. E., Koryunenko, G. V., Kaminsky, A. A., & Goncharuk, O. M. Decompressive hemicraniectomy for acute cerebral attacks complicated with brain dislocation syndrome. Ukrainian Neurosurgical Journal, (1), 44–46. Retrieved from https://theunj.org/article/view/100846

Issue

No. 1 (2003)

Section

Original articles

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Copyright (c) 2003 N. E. Polishchuk, G. V. Koryunenko, A. A. Kaminsky, O. M. Goncharuk

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