Decompressive craniotomy for malignant middle cerebral artery infarction: The quest for an African perspective

BACKGROUND: Although associated with controversy, decompressive craniotomy (DC) for malignant middle cerebral artery infarction (MMCAI) is an unequivocally lifesaving intervention. DC for MMCAI is rarely performed in lower- to middle-income countries. METHODS: A systemic review was performed in attempt to determine the rates of utilization and outcomes of DC on the African continent. RESULTS: Only two African studies describing DC for MMCAI were found. CONCLUSION: DC for MMCAI is rarely performed and/or reported on the African continent. The African perspective for this needs to be urgently broadened.