Hemicraniectomy|OMICS International|Journal Of Neurology And Neurophysiology

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The term malignant MCA infarction (MMI) was first used in 1996, however, there is still no generally accepted definition for this term, with the major studies to date having chosen clinical criteria to describe this condition, i.e. the severity of neurological symptoms at stroke onset (NIHSS = National Institute for Health Stroke Scale),rapid deterioration in symptoms, and neuroimaging findings. As yet, life threatening edema has been ruled out if at least two thirds of the MCA vascular territory or more than 50% of the MCA vascular territory are affected, or more than 82ml on a DWI (diffusion weighted image) MRI sequence within the first 6h after stroke onset, or more than 145ml on DWI sequence within the first 14h after stroke onset are affected. Besides the DESTINY trial, no other study has exclusively mentioned brain territories that have been affected by stroke, with DESTINY including those patients whose basal ganglia were at least partially affected
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Last date updated on April, 2021