Cited 23 times in
Preventive Suboccipital Decompressive Craniectomy for Cerebellar Infarction: A Retrospective-Matched Case-Control Study
DC Field | Value | Language |
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dc.contributor.author | 정준호 | - |
dc.date.accessioned | 2017-10-26T07:39:41Z | - |
dc.date.available | 2017-10-26T07:39:41Z | - |
dc.date.issued | 2016 | - |
dc.identifier.issn | 0039-2499 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/152343 | - |
dc.description.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. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Lippincott Williams & Wilkins | - |
dc.relation.isPartOf | STROKE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Brain Infarction/diagnostic imaging | - |
dc.subject.MESH | Brain Infarction/surgery* | - |
dc.subject.MESH | Case-Control Studies | - |
dc.subject.MESH | Cerebellar Diseases/diagnostic imaging | - |
dc.subject.MESH | Cerebellar Diseases/surgery* | - |
dc.subject.MESH | Decompressive Craniectomy* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Magnetic Resonance Imaging | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Prognosis | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Time Factors | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Preventive Suboccipital Decompressive Craniectomy for Cerebellar Infarction: A Retrospective-Matched Case-Control Study | - |
dc.type | Article | - |
dc.publisher.location | United States | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Neurosurgery | - |
dc.contributor.googleauthor | Myeong Jin Kim | - |
dc.contributor.googleauthor | Sang Kyu Park | - |
dc.contributor.googleauthor | Jihye Song | - |
dc.contributor.googleauthor | Se-yang Oh | - |
dc.contributor.googleauthor | Yong Cheol Lim | - |
dc.contributor.googleauthor | Sook Yong Sim | - |
dc.contributor.googleauthor | Yong Sam Shin | - |
dc.contributor.googleauthor | Joonho Chung | - |
dc.identifier.doi | 10.1161/STROKEAHA.116.014078 | - |
dc.contributor.localId | A03731 | - |
dc.relation.journalcode | J02690 | - |
dc.identifier.eissn | 1524-4628 | - |
dc.identifier.pmid | 27608818 | - |
dc.identifier.url | http://stroke.ahajournals.org/content/47/10/2565.long | - |
dc.subject.keyword | brain infarction | - |
dc.subject.keyword | cerebellar diseases | - |
dc.subject.keyword | decompressive craniectomy | - |
dc.subject.keyword | infarction | - |
dc.subject.keyword | propensity score | - |
dc.contributor.alternativeName | Chung, Joon Ho | - |
dc.contributor.affiliatedAuthor | Chung, Joon Ho | - |
dc.citation.volume | 47 | - |
dc.citation.number | 10 | - |
dc.citation.startPage | 2565 | - |
dc.citation.endPage | 2573 | - |
dc.identifier.bibliographicCitation | STROKE, Vol.47(10) : 2565-2573, 2016 | - |
dc.date.modified | 2017-10-24 | - |
dc.identifier.rimsid | 48078 | - |
dc.type.rims | ART | - |
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