Erschienen in:
23.09.2019 | Invited Editorial Commentary
Predicting Malignant Cerebral Edema After Large Hemispheric Stroke
verfasst von:
W. Taylor Kimberly
Erschienen in:
Neurocritical Care
|
Ausgabe 1/2020
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Excerpt
Large hemispheric infarction (LHI) is an ischemic stroke of the middle cerebral artery (MCA) territory and leads to a disproportionate degree of disability and death [
1,
2]. Poor functional outcome is further exacerbated when severe edema develops, which manifests as a decreased consciousness in association with displacement of midline structures of the brain [
3]. This abrupt neurological decline, termed malignant cerebral edema (MCE) or malignant MCA infarction [
4], occurs in the first 1–3 days after stroke onset [
5]. There are limited treatment options for MCE, with surgical decompressive craniectomy (DC) offered to a subset of patients [
6]. …