0 56

Cited 4 times in

Preventive Suboccipital Decompressive Craniectomy for Cerebellar Infarction: A Retrospective-Matched Case-Control Study

Authors
 Myeong Jin Kim  ;  Sang Kyu Park  ;  Jihye Song  ;  Se-yang Oh  ;  Yong Cheol Lim  ;  Sook Yong Sim  ;  Yong Sam Shin  ;  Joonho Chung 
Citation
 Stroke, Vol.47(10) : 2565-2573, 2016 
Journal Title
 Stroke 
ISSN
 0039-2499 
Issue Date
2016
MeSH
Aged ; Brain Infarction/diagnostic imaging ; Brain Infarction/surgery* ; Case-Control Studies ; Cerebellar Diseases/diagnostic imaging ; Cerebellar Diseases/surgery* ; Decompressive Craniectomy* ; Female ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Prognosis ; Retrospective Studies ; Time Factors ; Treatment Outcome
Keywords
brain infarction ; cerebellar diseases ; decompressive craniectomy ; infarction ; propensity score
Abstract
BACKGROUND AND PURPOSE: No evidence is available on the benefits of preventive suboccipital decompressive craniectomy (SDC) for patients with cerebellar infarction. The purpose of this matched case-control study was to investigate whether preventive SDC was associated with good clinical outcomes in patients with cerebellar infarction and to evaluate its predisposing factors. METHODS: Between March 2007 and September 2015, 28 patients underwent preventive SDC. We performed propensity score matching to establish a proper control group among 721 patients with cerebellar infarction during the same period. Group A (n=28) consists of those who underwent preventive SDC, and group B (n=56) consists of those who did not undergo preventive SDC. We analyzed and compared clinical outcomes between groups. RESULTS: Clinical outcomes were better in group A than in group B at discharge (P=0.048) and 12-month follow-up (P=0.030). Group B had more deaths within 12 months than group A (log-rank, P<0.05). Logistic regression analysis showed that preventive SDC (odds ratio, 4.815; P=0.009) and the absence of brain stem infarction (odds ratio, 2.862; P=0.033) were independently associated with favorable outcomes (modified Rankin Scale score of 0-2) at 12-month follow-up. CONCLUSIONS: Favorable clinical outcomes including overall survival can be expected after preventive SDC in patients with a volume ratio between 0.25 and 0.33 and the absence of brain stem infarction. Among these patients, preventive SDC might be better than the best medical treatment alone.
Full Text
http://stroke.ahajournals.org/content/47/10/2565.long
DOI
10.1161/STROKEAHA.116.014078
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Chung, Joon Ho(정준호)
Export
RIS (EndNote)
XLS (Excel)
XML
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/152343
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse