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Benefits of Hemicraniectomy Seen Many Years After Malignant Stroke in a Young Patient

The benefits of hemicraniectomy for malignant middle cerebral artery (MCA) stroke may not be apparent in the 3- to 6-months in which final outcomes are assessed in research studies. We present the case of a 15-year-old who underwent hemicraniectomy for malignant MCA stroke and was significantly disa...

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Detalles Bibliográficos
Autores principales: Mittal, Anupam, Mittal, Geetanjli, Partikian, Arthur, Liebeskind, David, Sanossian, Nerses
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Research Foundation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3449491/
https://www.ncbi.nlm.nih.gov/pubmed/23015800
http://dx.doi.org/10.3389/fneur.2012.00123
Descripción
Sumario:The benefits of hemicraniectomy for malignant middle cerebral artery (MCA) stroke may not be apparent in the 3- to 6-months in which final outcomes are assessed in research studies. We present the case of a 15-year-old who underwent hemicraniectomy for malignant MCA stroke and was significantly disabled 3 and 6 months after event. Over the long-term she was able to graduate from university, play tennis, and live an independent life. Although functional independence with only minor disability is relatively rare in adult hemicraniectomy patients, this outcome may be more easily achieved in children during a longer period of follow-up.