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감압 두개골 절제술을 시행 받은 공간 점유성 뇌경색 환자의 치료 성적과 예후 인자

Other Titles
 Management Outcome and Prognostic Factors of Patients who Underwent Decompressive Craniectomy for Space-Occupying Cerebral Infarction 
 최귀현  ;  정진영  ;  이재환  ;  허승곤  ;  김선호 
 Korean Journal of Cerebrovascular Surgery (대한뇌혈관외과학회지), Vol.7(1) : 44-47, 2005 
Journal Title
Korean Journal of Cerebrovascular Surgery(대한뇌혈관외과학회지)
Issue Date
Space-occupying cerebral infarction ; Decompressive craniectomy ; Management outcome ; Prognostic factors
Space-occupying cerebral infarction ; Decompressive craniectomy ; Management outcome ; Prognostic factors
Objectives: This study was to assess management outcome of patient undergoing decompressive craniectomy for space-occupying cerebral infarction refractory to medical treatment and to identify risk factors associated with unfavorable outcomes.

Patients and Methods: Between January 1999 and June 2004, total 20 patients were analyzed. The preoperative consciousness was rated using Glasgow Coma Scale (GCS). The clinical outcome was rated using Glasgow Outcome Scale (GOS) at 3 months follow up and divided into 2 groups;favorable outcome group (GOS> or =3) and unfavorable outcome group (GOS<3). The prognostic factors were analyzed multivariately.

Results: Fourteen patients were men and six patients were women (mean age, 58.7 yrs). Seventeen patients had right hemispheric infarction, and three patients had left hemispheric infarction. 16 patients had only middle cerebral artery (MCA) infarction, and 2 patients had combined anterior cerebral artery (ACA) or posterior cerebral artery (PCA) infarction respectively. Eleven patients showed anisocoria preoperatively. The mean time interval between symptom onset of infarction and operation was 61.5 hrs. 8 patients showed favorable outcome, and 12 patients showed unfavorable outcome.

Conclusions: The existence of preoperative anisocoria and low preoperative GCS score were statistically significant prognostic factor related to unfavorable outcome.
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1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sun Ho(김선호) ORCID logo https://orcid.org/0000-0003-0970-3848
Lee, Jae Whan(이재환)
Jung, Jin Young(정진영)
Huh, Seung Kon(허승곤)
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