World Neurosurg
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Review Meta Analysis Comparative Study
Neurological Functional Outcomes of Decompressive Hemicraniectomy versus Conventional Treatment for Malignant Middle Cerebral Artery Infarction: a Systematic Review and Mata-Analysis.
The aims of this study were to evaluate decompressive hemicraniectomy (DHC) versus conventional treatment (CT) for patients with malignant middle cerebral artery (MCA) infarction and to investigate the impact of age and surgical timing on neurologic function and mortality. ⋯ DHC could significantly improve GFO and reduces mortality of patients of all ages with malignant MCA infarction compared with CT, without increasing the number of patients surviving with severe disability. However, patients in the DHC group more frequently had moderately severe disability. Patients >60 years old with malignant MCA infarction had a higher risk of surviving with moderately severe or severe disability and less GFO.
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Review Meta Analysis
Spinal diffusion tensor imaging in the evaluation of pre- and post-operative severity in cervical spondylotic myelopathy: A systematic review of the literature.
Diffusion tensor imaging (DTI) is increasingly investigated as a potential diagnostic and prognostic tool for symptomatic degenerative cervical pathology; however, it is yet to be validated for this purpose. ⋯ DTI is associated with preoperative severity and postoperative outcomes in CSM patients, suggesting that DTI may become useful in identifying those most likely to benefit from operative intervention (Level 3 Evidence). Prospective trials with standardized DTI acquisition techniques and patient selection are required for higher-level evidence.