Outcomes and Factors in Cerebral Infarction Treated by Decompressive Craniectomy

บทคัดย่อ

         The objective of this analytic study was to investigate the outcome of patients suffering from ischemic strokes who were treated by decompressive craniectomy (DC) and factors associated with the unfavorable outcome. Data was conducted to investigate patients suffering from Middle cerebral artery (MCA) infarction who were treated with DC in Pranangklao hospital between January 1,2007 and December 31, 2010. The medical records were reviewed and data collection age, sex, history of hypertension (HT), diabetes mellitus (DM), atrial fibrillation (AF), side of hemispheric infarction, preoperative Glasgow coma scale (GCS), pupil asymmetry, midline shift and Glasgow outcome scale (GOS). Fourteen patients were included in the present study. The overall mortality was 57.2 percent. There were high mortality in older age, lower preoperative GCS (3-6) and midline shift. Patients with lower GCS tended to have high risk of death after the operation. In summary, preoperative GCS is a potential factor of survival in patients suffering from MCA infarction treated by decompressive craniectomy.
Key words: stroke, decompressive craniectomy, GCS, mortality