Hyperdense middle cerebral artery sign predicts favorable outcome after decompressive craniectomy in patients with malignant middle cerebral artery infarction.
Malignant middle cerebral artery infarction
age
decompressive craniectomy
hyperdense middle cerebral artery sign
prognosis
Journal
Acta radiologica (Stockholm, Sweden : 1987)
ISSN: 1600-0455
Titre abrégé: Acta Radiol
Pays: England
ID NLM: 8706123
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
pubmed:
6
8
2021
medline:
8
9
2022
entrez:
5
8
2021
Statut:
ppublish
Résumé
Malignant middle cerebral artery infarction (MMI) is a life-threatening cerebral vascular event. Early decompressive craniectomy (DC) has proven to be an effective treatment strategy. However, the ideal candidate for DC continues to be debated. To investigate whether a hyperdense middle cerebral artery sign (HMCAS) provides prognostic value after DC in patients with MMI. We reviewed clinical information and radiological parameters on computed tomography of 42 patients with MMI who underwent DC. Functional outcome was assessed according to the modified Rankin scale (mRS) at three months as follows: favorable outcome (mRS ≤ 4) versus unfavorable outcome (mRS > 4). Logistic regression analysis was used to identify predictors of functional outcome after DC in patients with MMI. Age (odds ratio [OR] = 0.87; 95% confidence interval [CI] = 0.78-0.97; Patients with MMI with HMCAS, as well as younger patients, often showed a favorable outcome after DC in this study.
Sections du résumé
BACKGROUND
BACKGROUND
Malignant middle cerebral artery infarction (MMI) is a life-threatening cerebral vascular event. Early decompressive craniectomy (DC) has proven to be an effective treatment strategy. However, the ideal candidate for DC continues to be debated.
PURPOSE
OBJECTIVE
To investigate whether a hyperdense middle cerebral artery sign (HMCAS) provides prognostic value after DC in patients with MMI.
MATERIAL AND METHODS
METHODS
We reviewed clinical information and radiological parameters on computed tomography of 42 patients with MMI who underwent DC. Functional outcome was assessed according to the modified Rankin scale (mRS) at three months as follows: favorable outcome (mRS ≤ 4) versus unfavorable outcome (mRS > 4). Logistic regression analysis was used to identify predictors of functional outcome after DC in patients with MMI.
RESULTS
RESULTS
Age (odds ratio [OR] = 0.87; 95% confidence interval [CI] = 0.78-0.97;
CONCLUSION
CONCLUSIONS
Patients with MMI with HMCAS, as well as younger patients, often showed a favorable outcome after DC in this study.
Identifiants
pubmed: 34350770
doi: 10.1177/02841851211035899
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM