Decompressive Hemicraniectomy and Favorable Outcome in a Pediatric Patient with Malignant Middle Cerebral Artery Infarction

We report a rare case of middle cerebral artery (MCA) stroke in a teenage girl with initial improvement, followed by progression to malignant MCA infarction, requiring an urgent decompressive hemicraniectomy (DHC). Additionally, we report improvement in all areas, including language, comprehension,...

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Autores principales: Barrientos, Ricardo, Sisniega, Carlos, Catueno, Samanta, Hougen, Robin, Hanna, Ashley, Bhalala, Utpal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9489348/
https://www.ncbi.nlm.nih.gov/pubmed/36148024
http://dx.doi.org/10.1155/2022/6500488
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author Barrientos, Ricardo
Sisniega, Carlos
Catueno, Samanta
Hougen, Robin
Hanna, Ashley
Bhalala, Utpal
author_facet Barrientos, Ricardo
Sisniega, Carlos
Catueno, Samanta
Hougen, Robin
Hanna, Ashley
Bhalala, Utpal
author_sort Barrientos, Ricardo
collection PubMed
description We report a rare case of middle cerebral artery (MCA) stroke in a teenage girl with initial improvement, followed by progression to malignant MCA infarction, requiring an urgent decompressive hemicraniectomy (DHC). Additionally, we report improvement in all areas, including language, comprehension, and motor skills at discharge and the 4-month follow-up. This rare presentation highlights the importance of monitoring the neurological status of a patient with an MCA infarct for progression to a life-threatening malignant MCA infarct. This case report also highlights the importance of consideration of DHC for a favorable outcome of the MMCA infarction.
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spelling pubmed-94893482022-09-21 Decompressive Hemicraniectomy and Favorable Outcome in a Pediatric Patient with Malignant Middle Cerebral Artery Infarction Barrientos, Ricardo Sisniega, Carlos Catueno, Samanta Hougen, Robin Hanna, Ashley Bhalala, Utpal Case Rep Pediatr Case Report We report a rare case of middle cerebral artery (MCA) stroke in a teenage girl with initial improvement, followed by progression to malignant MCA infarction, requiring an urgent decompressive hemicraniectomy (DHC). Additionally, we report improvement in all areas, including language, comprehension, and motor skills at discharge and the 4-month follow-up. This rare presentation highlights the importance of monitoring the neurological status of a patient with an MCA infarct for progression to a life-threatening malignant MCA infarct. This case report also highlights the importance of consideration of DHC for a favorable outcome of the MMCA infarction. Hindawi 2022-09-13 /pmc/articles/PMC9489348/ /pubmed/36148024 http://dx.doi.org/10.1155/2022/6500488 Text en Copyright © 2022 Ricardo Barrientos et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Barrientos, Ricardo
Sisniega, Carlos
Catueno, Samanta
Hougen, Robin
Hanna, Ashley
Bhalala, Utpal
Decompressive Hemicraniectomy and Favorable Outcome in a Pediatric Patient with Malignant Middle Cerebral Artery Infarction
title Decompressive Hemicraniectomy and Favorable Outcome in a Pediatric Patient with Malignant Middle Cerebral Artery Infarction
title_full Decompressive Hemicraniectomy and Favorable Outcome in a Pediatric Patient with Malignant Middle Cerebral Artery Infarction
title_fullStr Decompressive Hemicraniectomy and Favorable Outcome in a Pediatric Patient with Malignant Middle Cerebral Artery Infarction
title_full_unstemmed Decompressive Hemicraniectomy and Favorable Outcome in a Pediatric Patient with Malignant Middle Cerebral Artery Infarction
title_short Decompressive Hemicraniectomy and Favorable Outcome in a Pediatric Patient with Malignant Middle Cerebral Artery Infarction
title_sort decompressive hemicraniectomy and favorable outcome in a pediatric patient with malignant middle cerebral artery infarction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9489348/
https://www.ncbi.nlm.nih.gov/pubmed/36148024
http://dx.doi.org/10.1155/2022/6500488
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