alexa Decompressive Hemicraniectomy Remains a Physician?s Individual Decision | OMICS International | Abstract
ISSN: 2155-9562

Journal of Neurology & Neurophysiology
Open Access

Like us on:

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Case Report

Decompressive Hemicraniectomy Remains a Physician?s Individual Decision

Catharina Keller*, Henning Stetefeld*

Universitätsklinikum Köln, Klinik für Neurologie, Kerpenerstrasse 62, 50924 Köln, Germany

Corresponding Authors:
Catharina Keller
Henning Stetefeld Department of Neurology
University Hospital Cologne
Kerpener Str. 62, D-50937 Cologne, Germany
Tel: +49-221-478-4029
Fax: +49-221-478-6454
E-mail: [email protected]


Dr. Henning Stetefeld
Department of Neurology
University Hospital Cologne
Kerpener Str. 62, D-50937 Cologne, Germany
Tel: +49 221 4784029
Fax: +49 221 478 6454
E-mail: [email protected]

Received date: May 20, 2014; Accepted dat: May 28, 2014; Published date: June 03, 2014

Citation: Keller C, Stetefeld H (2014) Decompressive Hemicraniectomy Remains a Physician’s Individual Decision. J Neurol Neurophysiol 5:211. doi:10.4172/2155-9562.1000211

Copyright: © 2014 Keller C, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Although the latest trials (DESTINY, DESTINY II, HAMLET, DECIMAL) have provided evidence that
decompressive hemicraniectomy in malignant MCA infarction (MMI) can improve survival rates and neurological
outcomes, the decision for or against the procedure remains challenging in respect of the inclusion and exclusion
criteria, such as the definition of MMI, severity of symptoms at stroke onset and neuroimaging findings.
This report focuses on a young patient who suffered an MMI of the right hemisphere. Because of a rapid
deterioration in the clinical symptoms, we decided to perform an early decompressive hemicraniectomy after 24h.
The patient survived without any complications, and with a favourable outcome (mRS 1).
The case shows that young patients in particular can have a remarkable potential for full recovery after an MMI,
and that the benefits of surgery outweigh the risks, provided that 1) the hemicraniectomy is performed promptly
(after careful consideration of whether brain swelling might occur soon after MMI), and 2) the elective brain territories
have not yet been affected.


Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2018-19
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

+1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A


[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals


porn sex

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

Gaziantep Escort

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A


[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

mp3 indir

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals


Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T


[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

© 2008- 2018 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version