Prediction and intensive care of malignant middle cerebral artery infarction
10.3760/cma.j.issn.1673-4165.2014.12.008
- VernacularTitle:恶性大脑中动脉梗死的预测和重症监护治疗
- Author:
Ning LIU
;
Yanqiang CHEN
;
Xin WANG
;
Li LI
;
Jianmei WANG
- Publication Type:Journal Article
- Keywords:
Infarction,Middle Cerebral Artery;
Stroke;
Brain Iscehmia;
Brain Edema;
Intensive Care
- From:
International Journal of Cerebrovascular Diseases
2014;22(12):930-933
- CountryChina
- Language:Chinese
-
Abstract:
Mortality of patients with malignant middle cerebral artery infarction (mMCAI) is as high as 41% to 78% with the conservative treatment in the intensive care unit.Malignant edema caused tentorial herniation is the most common cause of resulting in the death of patients.Some evidence supports the hemicraniectomy for the treatment of patients with mMCAI.The patients must receive supportive and adjuvant therapies before surgical decision making.Therefore,the prediction and intensive care of mMCAI have a very important significance.This article reviews the predictive factors and intensive care of mMCAI.