Clinical Evaluation of Decompressive Craniectomy in Malignant Middle Cerebral Artery Infarction using 3D Area and Volume Calculations

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dc.authoridÇevik, Serdar/0000-0002-2733-4233
dc.authoridUnsal, Ulkun Unlu/0000-0001-5194-3138
dc.authoridKitiş, Serkan/0000-0002-9119-5899
dc.contributor.authorKitis, Serkan
dc.contributor.authorCevik, Serdar
dc.contributor.authorKose, Kevser B.
dc.contributor.authorBaygul, Arzu
dc.contributor.authorComert, Serhat
dc.contributor.authorUnsal, Ulkun U.
dc.contributor.authorPapaker, Meliha G.
dc.date.accessioned2024-09-11T19:53:14Z
dc.date.available2024-09-11T19:53:14Z
dc.date.issued2021
dc.departmentİstanbul Gelişim Üniversitesien_US
dc.description.abstractObjective: We aimed to measure the craniectomy area using three-dimensional (3D) anatomic area and volume calculations to demonstrate that it can be an effective criterion for evaluating survival and functional outcomes of patients with malignant middle cerebral artery (MCA) infarction. Material and Methods: The patients diagnosed with malignant ischemic stroke between 2013 and 2018, for which they underwent surgery due to deterioration in their neurological function, were retrospectively reviewed. Radiological images of all patients were evaluated; total brain tissue volume, ischemic brain tissue volume, total calvarial bone area, and decompression bone area were measured using 3D anatomical area and volume calculations. Results: In total, 45 patients (27 males and 18 females) had been treated with decompressive craniectomy (DC). The removed bone area was found to be significantly related to the outcome in patients with MCA infarction. The average decompression bone area and mean bone removal rate for patients who died after DC were 112 +/- 27 cm(2) and 20%, whereas these values for surviving patients were 149 +/- 29 cm(2) and 26% (P = 0.001), respectively. At the 6-month follow-up, the average decompression bone area and mean bone removal rate for patients with severe disability were 126 +/- 30 cm(2) and 22.2%, whereas these values for patients without severe disability were 159 cm(2) +/- 26 and 28.4% (P = 0.001), respectively. Conclusion: In patients with malignant MCA infarction, the decompression area is associated with favorable functional outcomes, first, survival and second, 6-month modified Rankin scale score distribution after craniectomy.en_US
dc.identifier.doi10.4103/aian.AIAN_518_20
dc.identifier.endpage517en_US
dc.identifier.issn0972-2327
dc.identifier.issn1998-3549
dc.identifier.issue4en_US
dc.identifier.pmid34728943en_US
dc.identifier.scopus2-s2.0-85116198554en_US
dc.identifier.startpage513en_US
dc.identifier.urihttps://doi.org/10.4103/aian.AIAN_518_20
dc.identifier.urihttps://hdl.handle.net/11363/8100
dc.identifier.volume24en_US
dc.identifier.wosWOS:000754576800010en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherWolters Kluwer Medknow Publicationsen_US
dc.relation.ispartofAnnals of Indian Academy of Neurologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240903_Gen_US
dc.subjectCraniectomy areaen_US
dc.subjectdecompressive craniectomyen_US
dc.subjectmiddle cerebral artery infarctionen_US
dc.subjectmodified Rankin scaleen_US
dc.subjectoutcomeen_US
dc.titleClinical Evaluation of Decompressive Craniectomy in Malignant Middle Cerebral Artery Infarction using 3D Area and Volume Calculationsen_US
dc.typeArticleen_US

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