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小儿恶性大脑中动脉梗死患者的减压性颅骨切除术与良好预后

Decompressive Hemicraniectomy and Favorable Outcome in a Pediatric Patient with Malignant Middle Cerebral Artery Infarction.

作者信息

Barrientos Ricardo, Sisniega Carlos, Catueno Samanta, Hougen Robin, Hanna Ashley, Bhalala Utpal

机构信息

Driscoll Children's Hospital, Corpus Christi, TX, USA.

出版信息

Case Rep Pediatr. 2022 Sep 13;2022:6500488. doi: 10.1155/2022/6500488. eCollection 2022.

DOI:10.1155/2022/6500488
PMID:36148024
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9489348/
Abstract

We report a rare case of middle cerebral artery (MCA) stroke in a teenage girl with initial improvement, followed by progression to malignant MCA infarction, requiring an urgent decompressive hemicraniectomy (DHC). Additionally, we report improvement in all areas, including language, comprehension, and motor skills at discharge and the 4-month follow-up. This rare presentation highlights the importance of monitoring the neurological status of a patient with an MCA infarct for progression to a life-threatening malignant MCA infarct. This case report also highlights the importance of consideration of DHC for a favorable outcome of the MMCA infarction.

摘要

我们报告了一例罕见的青少年女孩大脑中动脉（MCA）卒中病例，该患者最初病情有所改善，但随后进展为恶性MCA梗死，需要紧急进行去骨瓣减压术（DHC）。此外，我们报告了患者在出院时以及4个月随访时，在包括语言、理解和运动技能等所有方面均有改善。这种罕见的表现突出了监测MCA梗死患者神经状态以防止进展为危及生命的恶性MCA梗死的重要性。本病例报告还强调了考虑进行DHC对于MMCA梗死获得良好预后的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68c0/9489348/a0e1e94b1c33/CRIPE2022-6500488.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68c0/9489348/8d7217739898/CRIPE2022-6500488.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68c0/9489348/552aca8dd979/CRIPE2022-6500488.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68c0/9489348/a0e1e94b1c33/CRIPE2022-6500488.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68c0/9489348/8d7217739898/CRIPE2022-6500488.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68c0/9489348/552aca8dd979/CRIPE2022-6500488.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68c0/9489348/a0e1e94b1c33/CRIPE2022-6500488.003.jpg

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本文引用的文献

1
Decompressive hemicraniectomy in pediatric patients with malignant middle cerebral artery infarction: case series and review of the literature.儿童恶性大脑中动脉梗死患者去骨瓣减压术：病例系列及文献复习。
World Neurosurg. 2013 Jul-Aug;80(1-2):126-33. doi: 10.1016/j.wneu.2013.06.001. Epub 2013 Jun 19.
2
Decompressive hemicraniectomy after malignant middle cerebral artery infarction: rationale and controversies.大脑中动脉梗死所致恶性大脑中动脉梗死减压性半脑切除术：原理与争议。
Neurosurg Focus. 2011 Jun;30(6):E18. doi: 10.3171/2011.3.FOCUS1160.
3
Decompressive craniectomy for malignant middle cerebral artery infarction: evidence and controversies.
去骨瓣减压术治疗恶性大脑中动脉梗死：证据与争议。
J Clin Neurosci. 2011 Aug;18(8):1018-22. doi: 10.1016/j.jocn.2010.12.021. Epub 2011 May 17.
4
Outcome following decompressive craniectomy for malignant middle cerebral artery infarction in children.儿童大脑中动脉恶性梗死减压性颅骨切除术的结果。
Dev Med Child Neurol. 2011 Jan;53(1):29-33. doi: 10.1111/j.1469-8749.2010.03775.x. Epub 2010 Aug 30.
5
The current status of decompressive craniectomy.减压性颅骨切除术的现状
Br J Neurosurg. 2009 Apr;23(2):147-57. doi: 10.1080/02688690902756702.
6
Surgical decompression for space-occupying cerebral infarction (the Hemicraniectomy After Middle Cerebral Artery infarction with Life-threatening Edema Trial [HAMLET]): a multicentre, open, randomised trial.手术减压治疗占位性脑梗死（大脑中动脉梗死伴危及生命水肿后的去骨瓣减压术试验[HAMLET]）：一项多中心、开放性、随机试验。
Lancet Neurol. 2009 Apr;8(4):326-33. doi: 10.1016/S1474-4422(09)70047-X. Epub 2009 Mar 5.
7
Sequential-design, multicenter, randomized, controlled trial of early decompressive craniectomy in malignant middle cerebral artery infarction (DECIMAL Trial).恶性大脑中动脉梗死早期减压性颅骨切除术的序贯设计、多中心、随机、对照试验（DECIMAL试验）
Stroke. 2007 Sep;38(9):2506-17. doi: 10.1161/STROKEAHA.107.485235. Epub 2007 Aug 9.
8
Decompressive Surgery for the Treatment of Malignant Infarction of the Middle Cerebral Artery (DESTINY): a randomized, controlled trial.大脑中动脉恶性梗死减压手术治疗（DESTINY）：一项随机对照试验。
Stroke. 2007 Sep;38(9):2518-25. doi: 10.1161/STROKEAHA.107.485649. Epub 2007 Aug 9.
9
Timing of neurologic deterioration in massive middle cerebral artery infarction: a multicenter review.大脑中动脉大面积梗死时神经功能恶化的时间：一项多中心综述。
Crit Care Med. 2003 Jan;31(1):272-7. doi: 10.1097/00003246-200301000-00043.
10
Predictors of fatal brain edema in massive hemispheric ischemic stroke.大面积半球缺血性卒中致死性脑水肿的预测因素
Stroke. 2001 Sep;32(9):2117-23. doi: 10.1161/hs0901.095719.