Decompressive craniectomy and temporal muscle sticking therapy of cerebral infarction: experience and problems

doi:10.3969/j.issn.2095-4344.2014.11.025

Abstract

Abstract:

BACKGROUND: A surgery can relieve the increased intracranial pressure, brain tissue edema, and brain stem compression in patients with massive cerebral infarction, and reduce the risk of serious complications, provide more time for medical treatment, and decrease the mortality and disability rate.

OBJECTIVE: To investigate the clinical value of decompressive craniectomy plus temporal muscle sticking therapy of cerebral infarction.

METHODS: A retrospective analysis was performed among the clinical data of 37 cerebral infarction patients, including 24 males and 13 females, they aged 10-55 years old. After decompressive craniectomy plus temporal muscle sticking therapy, the involved patients were followed up. The prognosis was evaluated according to the Glasgow Outcome Scale, as excellent, good, moderate, none, and poor.

RESULTS AND CONCLUSION: At 6 months of follow-up, the total efficiency of surgical treatment in 37 patients was up to 89%, including excellent in 5 cases (14%), good in 15 cases (41%), moderate in 13 cases (35%), none in 4 cases (11%). No cases exhibited aggravation. Thirty-one patients with cerebral infarction were detected by cranial CT scans, among them 19 patients exhibited significantly reduced infarct size, and 12 patients who had self-care ability were found to restore the cerebral cortex activity. During the 1-year follow-up, 31 patients completed the follow-up, the remaining 6 cases were lost due to contact failure. Twenty-three cases achieved satisfactory long-term results, and returned to normal work and simple labor, two cases occurred contralateral cerebral infarction and became sicker. Decompressive craniectomy plus temporal muscle sticking therapy is an effective treatment for the majority of cerebral infarction.

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

全文链接：

Key words: biocompatible materials, infarction, middle cerebral artery, decompression, surgical, temporal muscle

CLC Number:

R318

Hou Xiao-feng. Decompressive craniectomy and temporal muscle sticking therapy of cerebral infarction: experience and problems[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(11): 1793-1798.

Figures/Tables 2

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