Persistence of Hyperdense Middle Cerebral Artery Sign on Follow-Up CT Scan after Intravenous Thrombolysis Is Associated with Poor Outcome

2012 ◽  
Vol 33 (5) ◽  
pp. 446-452 ◽  
Author(s):  
Prakash R. Paliwal ◽  
Aftab Ahmad ◽  
Liang Shen ◽  
Leonard L.L. Yeo ◽  
Pei Kee Loh ◽  
...  
Keyword(s):  
Ct Scan ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Intravenous Thrombolysis ◽  
Poor Outcome ◽  
Hyperdense Middle Cerebral Artery

Stroke etiologic subtype may influence the rate of hyperdense middle cerebral artery sign disappearance after intravenous thrombolysis

2016 ◽  
Vol 43 (1) ◽  
pp. 86-90 ◽  
Author(s):  
Stefano Forlivesi ◽  
Paolo Bovi ◽  
Giampaolo Tomelleri ◽  
Nicola Micheletti ◽  
Monica Carletti ◽  
...  
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Intravenous Thrombolysis ◽  
Hyperdense Middle Cerebral Artery

WM1-4 Decompressive craniectomy versus strokectomy for malignant middle cerebral artery (MCA) infarction

2019 ◽  
Vol 90 (3) ◽  
pp. e1.2-e1
Author(s):  
S Moughal ◽  
D Boeris ◽  
A Hainsworth ◽  
E Pereira ◽  
A Shtaya ◽  
...  
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Decompressive Craniectomy ◽  
Modified Rankin Scale ◽  
Poor Outcome ◽  
Post Surgery ◽  
Significant Difference ◽  
Malignant Mca Infarction ◽  
Group Post

ObjectivesTo compare the outcomes of decompressive craniectomy (DC) with craniotomy and debulikng of stroke tissue (Strokectomy (SC)) for malignant MCA infarction at our centre.DesignRetrospective records review.SubjectsAll Patients with malignant MCA infraction that underwent DC and SC between Jan 2012 and Sep 2017.Methods20 patients had DC (11F/9M, mean age 44.7±1.8 y) and four patients had SC (1F/3M) 51.5±5.9 7 y). Outcomes were assessed by Modified Rankin Scale (mRS) scores before surgery and at latest follow up (3–6 months). mRS was dichotomised as good (0–3) and poor (4–6). Craniotomy size was measured by antero-posterior (AP) diameter and compared between the groups.Results18 patients (90%) of the DC group had mRS 4–6 before surgery versus 100% in the SC group. Post-surgery 15 patients (75%) of the DC group had poor outcome with 7 mortalities (35%) in comparison to one patient (25%) with poor outcome in the SC group and no mortalities. The average craniotomy size in DC was 120.1±4.1 mm versus 85.5±13.1 mm in the SC, p=0.003 students t test). Six patients of the DC group underwent cranioplasty where two developed post-operative seizures. There was no significant difference in age, sex and side of craniotomy (7 Left/13 Right in DC vs 2 Left/2 Right in SC).ConclusionsStrokectomy is comparable to decompressive craniectomy in outcomes without taking the extra risks and costs of cranioplasty. Further studies are required to promote this approach.

Intravenous thrombolysis for ischemic stroke with hyperdense middle cerebral artery sign: A meta‐analysis

2019 ◽  
Vol 141 (3) ◽  
pp. 193-201 ◽  
Author(s):  
Huanhuan Sun ◽  
Yukai Liu ◽  
Pengyu Gong ◽  
Shuting Zhang ◽  
Feng Zhou ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Meta Analysis ◽  
Intravenous Thrombolysis ◽  
Hyperdense Middle Cerebral Artery

scholarly journals Comparison of Intraarterial and Intravenous Thrombolysis for Ischemic Stroke With Hyperdense Middle Cerebral Artery Sign

Stroke ◽  
2008 ◽  
Vol 39 (2) ◽  
pp. 379-383 ◽  
Author(s):  
Heinrich P. Mattle ◽  
Marcel Arnold ◽  
Dimitrios Georgiadis ◽  
Christian Baumann ◽  
Krassen Nedeltchev ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Intravenous Thrombolysis ◽  
Hyperdense Middle Cerebral Artery

Intravenous thrombolysis in stroke patients with hyperdense middle cerebral artery sign

2009 ◽  
Vol 16 (2) ◽  
pp. 162-167 ◽  
Author(s):  
D. Georgiadis ◽  
F. Wirz ◽  
H-C. von Büdingen ◽  
P. Valko ◽  
M. Hund-Georgiadis ◽  
...  
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Intravenous Thrombolysis ◽  
Stroke Patients ◽  
Hyperdense Middle Cerebral Artery
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