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Revista médica de Chile · Apr 2005
Case Reports[Decompressive hemicraniectomy for malignant middle cerebral artery infarction. Report of two cases].
- Patricio Mellado T, Luis Castillo F, Manuel Campos P, Guillermo Bugedo T, Alberto Dougnac L, and Max Andresen H.
- Departamento de Neurología, Facultad de Medicina, Hospital Clinico de la Pontificia Universidad Católica de Chile, Santiago, Chile.
- Rev Med Chil. 2005 Apr 1;133(4):447-52.
AbstractMalignant middle cerebral territory infarction represents 5 to 10% of all brain infarctions. Its mortality is 80%, due to brain herniation and it is not reduced by medical treatment. Decompressive hemicraniectomy reduces mortality to 12%, and the subsequent quality of life of patients is acceptable. We report two male patients aged 61 and 54 years, with a malignant middle cerebral territory infarction who were treated with decompressive hemicraniectomy. After two years of follow up, both patients are self-sufficient and live at home with their families.
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