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

DC FieldValueLanguage
dc.contributor.author정준호-
dc.date.accessioned2017-10-26T07:39:41Z-
dc.date.available2017-10-26T07:39:41Z-
dc.date.issued2016-
dc.identifier.issn0039-2499-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/152343-
dc.description.abstractBACKGROUND 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.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherLippincott Williams & Wilkins-
dc.relation.isPartOfSTROKE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHBrain Infarction/diagnostic imaging-
dc.subject.MESHBrain Infarction/surgery*-
dc.subject.MESHCase-Control Studies-
dc.subject.MESHCerebellar Diseases/diagnostic imaging-
dc.subject.MESHCerebellar Diseases/surgery*-
dc.subject.MESHDecompressive Craniectomy*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHMagnetic Resonance Imaging-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPrognosis-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHTime Factors-
dc.subject.MESHTreatment Outcome-
dc.titlePreventive Suboccipital Decompressive Craniectomy for Cerebellar Infarction: A Retrospective-Matched Case-Control Study-
dc.typeArticle-
dc.publisher.locationUnited States-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Neurosurgery-
dc.contributor.googleauthorMyeong Jin Kim-
dc.contributor.googleauthorSang Kyu Park-
dc.contributor.googleauthorJihye Song-
dc.contributor.googleauthorSe-yang Oh-
dc.contributor.googleauthorYong Cheol Lim-
dc.contributor.googleauthorSook Yong Sim-
dc.contributor.googleauthorYong Sam Shin-
dc.contributor.googleauthorJoonho Chung-
dc.identifier.doi10.1161/STROKEAHA.116.014078-
dc.contributor.localIdA03731-
dc.relation.journalcodeJ02690-
dc.identifier.eissn1524-4628-
dc.identifier.pmid27608818-
dc.identifier.urlhttp://stroke.ahajournals.org/content/47/10/2565.long-
dc.subject.keywordbrain infarction-
dc.subject.keywordcerebellar diseases-
dc.subject.keyworddecompressive craniectomy-
dc.subject.keywordinfarction-
dc.subject.keywordpropensity score-
dc.contributor.alternativeNameChung, Joon Ho-
dc.contributor.affiliatedAuthorChung, Joon Ho-
dc.citation.volume47-
dc.citation.number10-
dc.citation.startPage2565-
dc.citation.endPage2573-
dc.identifier.bibliographicCitationSTROKE, Vol.47(10) : 2565-2573, 2016-
dc.date.modified2017-10-24-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers

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