Journal of Zhejiang University. Science. B
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J Zhejiang Univ Sci B · Jul 2005
Is decompressive craniectomy for malignant middle cerebral artery infarction of any worth?
Malignant middle cerebral artery (MCA) infarction is characterized by mortality rate of up to 80%. The aim of this study was to determine the value of decompressive craniectomy in patients presenting malignant MCA infarction compared with those receiving medical treatment alone. ⋯ Decompressive craniectomy in patients with malignant MCA infarction improves both survival rates and functional outcomes compared with medical treatment alone. A randomized controlled trial is required to substantiate those findings.