Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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The Clinical Efficacy of Decompressive Craniectomy in Patients with an Internal Carotid Artery Territory Infarction

  • Yoo, Seung Ho (Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Kim, Tae Hong (Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Shin, Jun Jae (Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Shin, Hyung Shik (Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Hwang, Yong Soon (Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Park, Sang Keun (Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine)
  • Received : 2012.04.17
  • Accepted : 2012.10.04
  • Published : 2012.10.28
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Abstract

Objective : To evaluate the surgical efficacy of and factors associated with decompressive craniectomy in patients with an internal carotid artery (ICA) territory infarction. Methods : Seventeen patients (8 men and 9 women, average age 61.53 years, range 53-77 years) were treated by decompressive craniectomy for an ICA territory infarction at our institute. We retrospectively reviewed medical records, radiological findings, and National Institutes of Health Stroke Scale (NIHSS) at presentation and before surgery. Clinical outcomes were assessed using the Glasgow Outcome Scale (GOS). Results : Of the 17 patients, 15 (88.24%) achieved a poor outcome (Group A, GOS 1-3) and 2 (11.76%) a good outcome (Group B, GOS 4-5). The mortality rate at one month after surgery was 52.9%. Average preoperative NIHSS was $27.6{\pm}10.88%$ in group A and $10{\pm}4.24%$ in group B. Mean cerebral infarction fraction at the septum pellucidum level before surgery in group A and B were 33.67% and 23.72%, respectively. Mean preoperative NIHSS (p=0.019) and cerebral infarction fraction at the septum pellucidum level (p=0.017) were found to be significantly associated with a better outcome. However, no preexisting prognostic factor was found to be of statistical significance. Conclusion : The rate of mortality after ICA territory infarction treatment is relatively high, despite positive evidence for surgical decompression, and most survivors experience severe disabilities. Our findings caution that careful consideration of prognostic factors is required when considering surgical treatment.

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References

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