TREATMENT OF MALIGNANT MCA INFARCTION
Аннотация
Злокачественный инфаркт мозга в бассейне средней мозговой артерии, сопровождающийся объемным эффектом, является одной из наиболее деструктивных форм ишемического инсульта. Несколько исследований серий случаев предложили декомпрессивную гемикраниэктомию в качестве сохраняющей жизнь операции, но до недавнего времени не было доказательств пользы данного вмешательства, полученных в рандомизированных контролируемых испытаниях. Данные, опубликованные в 2007 году и результаты объединенного анализа трех европейских испытаний за 2009 год установили факты в пользу гемикраниэктомии. Данный обзор посвящен клиническому синдрому, содержит информацию по патофизиологии и способам визуализации, а также описывает лечебные подходы с особым вниманием по отношению к декомпрессивной хирургии.Литература
Accuracy of perfusion-CT in predicting malignant middle cerebral artery brain infarction / R. Dittrich [et al.] // J. Neurol. - 2008. - Vol. 255. - P. 896-902.
Andrushko, V.A. Prehistoric trepanation in the Cuzco region of Peru: A view into an ancient Andean practice / V.A. Andrushko, J.W. Verano // Am. J. Phys. Anthropol. - 2008. - Vol. 137. - P. 4-13.
Barbiturate coma in severe hemispheric stroke: Useful or obsolete? / S. Schwab, M. Spranger, S. Schwarz, W. Hacke // Neurology. - 1997. - Vol. 48. - P. 1608-1613.
Bardutzky, J. Antiedema therapy in ischemic stroke / J. Bardutzky, S. Schwab // Stroke. - 2007. - Vol. 38. - P. 3084-3094.
Bedside monitoring of cerebral blood flow in patients with acute hemispheric stroke / E. Keller [et al.] // Crit. Care Med. - 2000. Surgery - Vol. 28. - P. 511-516.
. Berger, C. Neurochemical monitoring of therapeutic effects in large human MCA infarction / C. Berger, K. Kiening, S. Schwab // Neurocrit. Care. - 2008. - Vol. 9. - P. 352-356.
Bernard, S.A. Induced hypothermia in critical care medicine: A review / S.A. Bernard, M. Buist // Crit. Care Med. - 2003. - Vol. 31. - P. 2041-2051.
Body temperature in acute stroke: Relation to stroke severity, infarct size, mortality, and outcome / J. Reith [et al.] / Lancet. - 1996. - Vol. 347. - P. 422-425.
Carandang, R. A. Decompressive hemicraniectomy and durotomy for malignant middle cerebral artery infarction / R. A. Carandang, D.W. Krieger // Neurocrit. Care. - 2008. - Vol. 8. - P. 286-289.
Clinical review: Therapy for refractory intracranial hypertension in ischaemic stroke / E. Juttler [et al.] // Crit. Care. - 2007. - Vol. 11. - P. 231.
Computed tomographic parameters predicting fatal outcome in large middle cerebral artery infarction / P.A. Barber [et al.] // Cerebrovasc. Dis. - 2003. - Vol. 16. - P. 230-235.
Curry, W. T. Factors associated with outcome after hemicraniectomy for large middle cerebral artery territory infarction / W.T. Curry, Jr., M.K. Sethi, C.S. Ogilvy, B.S. Carter // Neurosurgery. - 2005. - Vol. 56. - P. 681-692.
Cushing, H. The establishment of cerebral hernia as a decompressive measure for inaccessible brain tumors: With the description of intramuscular methods of making the bone defect in temporal and occipital regions / H. Cushing // Surg. Gynecol. Obstet. - 1905. - Vol. 1. - P. 297-314.
Decompressive hemicraniectomy in malignant middle cerebral artery infarction: An analysis of long-term outcome and factors in patient selection / A. Pillai [et al.] // J. Neurosurg. - 2007. - Vol. 106. - P. 59-65.
Decompressive surgery for severe brain edema / J. Diedler [et al.] // J. Intensive Care Med. - 2009. - Vol. 24. - P. 168-178.
Decompressive surgery for the treatment of malignant infarction of the middle cerebral artery (DESTINY): A randomized, controlled trial / E. Juttler [et al.] // Stroke. - 2007. - Vol. 38. - P. 2518-2525.
Dirnagl, U. Cerebral ischemia: The microcirculation as trigger and target / U. Dirnagl // Prog. Brain Res. - 1993. - Vol. 96. - P. 4965.
Early clinical and radiological predictors of fatal brain swelling in ischemic stroke / D.W. Krieger [et al.] // Stroke. - 1999. -Vol. 30. - P. 287-292.
Early decompressive surgery in malignant infarction of the middle cerebral artery: A pooled analysis of three randomised controlled trials / K. Vahedi [et al.] // Lancet Neurol. - 2007. - Vol. 6. - P. 215222.
Early hemicraniectomy in patients with complete middle cerebral artery infarction / S. Schwab [et al.] // Stroke. - 1998. - Vol. 29. - P. 1888-1893.
Effect and feasibility of controlled rewarming after moderate hypothermia in stroke patients with malignant infarction of the middle cerebral artery / T. Steiner [et al.] // Stroke. - 2001. - Vol. 32. - P. 2833-2835.
External decompressive craniectomy including resection of temporal muscle and fascia in malignant hemispheric infarction / J. Park [et al.] // J. Neurosurg. - 2009. - Vol. 110. - P. 101-105.
Extracellular concentrations of non-transmitter amino acids in peri-infarct tissue of patients predict malignant middle cerebral artery infarction / B. Bosche [et al.] // Stroke. - 2003. - Vol. 34. - P. 2908-2913.
Factors predicting prognosis after decompressive hemicraniectomy for hemispheric infarction / A.A. Rabinstein [et al.] // Neurology. - 2006. - Vol. 67. - P. 891-893.
Factors predictive of fatality in massive middle cerebral artery territory infarction and clinical experience of decompressive hemicraniectomy / K.W. Wang [et al.] // Eur. J. Neurol. - 2006. - Vol. 13. - P. 765-771.
Feasibility and safety of moderate hypothermia after massive hemispheric infarction / S. Schwab [et al.] // Stroke. - 2001. - Vol. 32. - P. 2033-2035.
Finger, S. E. George Squier and the discovery of cranial trepanation: A landmark in the history of surgery and ancient medicine / S. Finger, H.R. Fernando // J. Hist. Med. Allied. Sci. - 2001. - Vol. 56. - P. 353-381.
Frank, J.I. Large hemispheric infarction, deterioration, and intracranial pressure / J.I. Frank // Neurology. - 1995. -Vol. 45. - P. 1286-1290.
Georgiadis, D. Endovascular cooling for moderate hypothermia in patients with acute stroke: First results of a novel approach / D. Georgiadis, S. Schwarz, R. Kollmar, S. Schwab // Stroke. - 2001. - Vol. 32. - P. 2550-2553.
Georgiadis, D. Hemicraniectomy and moderate hypothermia in patients with severe ischemic stroke /D. Georgiadis, S. Schwarz, A. Aschoff, S. Schwab // Stroke. - 2002. - Vol. 33. - P. 1584-1588.
Greco, T. Le thrombosi posttraumatiche della carotide / T. Greco // Arch. Ital. Chir. - 1935. - Vol. 39. - P. 757-784.
Greenwood, J. Acute brain infarctions with high intracranial pressure: Surgical indications / J. Greenwood // Johns Hopkins Med. J. - 1968. - Vol. 122. - P. 254-260.
Gupta, R. Hemicraniectomy for massive middle cerebral artery territory infarction: A systematic review / R. Gupta, E.S. Connolly, S. Mayer, M.S. Elkind // Stroke. - 2004. - Vol. 35. - P. 539-543.
Hemicraniectomy with dural augmentation in medically uncontrollable hemispheric infarction / C.R. Wirtz [et al.] // Neurosurg. Focus. - 1997. - Vol. 2. - E3.
Hofmeijer, J. Treatment of space-occupying cerebral infarction / J. Hofmeijer, H.B. van der Worp, L.J. Kappelle / Crit. Care Med. - 2003. - Vol. 31. - P. 617-625.
Huttner, H.B. Hemicraniectomy for middle cerebral artery infarction. / H. Huttner, E. Juttler, S. Schwab // Curr. Neurol. Neurosci. Rep. - 2008. -Vol. 8. - P. 526-533.
Identification and clinical impact of impaired cerebrovascular autoregulation in patients with malignant middle cerebral artery infarction / C. Dohmen [et al.] // Stroke. - 2007. - Vol. 38. - P. 5661 .
Jaeger, M. Improvement of brain tissue oxygen and intracranial pressure during and after surgical decompression for diffuse brain oedema and space occupying infarction / M. Jaeger, M. Soehle, J. Meixensberger // Acta Neurochir. Suppl. - 2005. - Vol. 95. - P. 117118.
"Malignant" middle cerebral artery territory infarction: Clinical course and prognostic signs / W. Hacke [et al.] // Arch. Neurol. - 1996. -Vol. 53. - P. 309-315.
Maramattom, B.V. Which patient fares worse after early deterioration due to swelling from hemispheric stroke? // B.V. Maramattom, M.M. Bahn, E.F. Wijdicks // Neurology. - 2004. - Vol. 63. - P. 2142-2145.
Mechanical ventilation in patients with hemispheric ischemic stroke / J. Berrouschot, A. Rossler, J. Koster, D. Schneider // Crit. Care Med. - 2000. - Vol. 28. - P. 2956-2961.
Microtubular proteolysis in focal cerebral ischemia / L.C. Pettigrew [et al.] // J. Cereb. Blood Flow Metab. - 1996. - Vol. 16. - P. 1189-1202.
Moderate hypothermia in the treatment of patients with severe middle cerebral artery infarction / S. Schwab [et al.] // Stroke. - 1998. - Vol. 29. - P. 2461-2466.
Mori, K. Early external decompressive craniectomy with duroplasty improves functional recovery in patients with massive hemispheric embolic infarction: Timing and indication of decompressive surgery for malignant cerebral infarction / K. Mori, Y. Nakao, T. Yamamoto, M. Maeda // Surg. Neurol. - 2004. - Vol. 62. - P. 420-429.
Mortality of space-occupying ("malignant") middle cerebral artery infarction under conservative intensive care / J. Berrouschot [et al.] // Intensive Care Med. - 1998. - Vol. 24. - P. 620-623.
Multiphasic helical computed tomography predicts subsequent development of severe brain edema in acute ischemic stroke / S.J. Lee [et al.] // Arch. Neurol. - 2004. - Vol. 61. - P. 505-509.
Neuroprotective effect of delayed moderate hypothermia after focal cerebral ischemia: An MRI study / R. Kollmar [et al.] // Stroke. - 2002. - Vol. 33. - P. 1899-1904.
Outcome and prognostic factors of hemicraniectomy for space occupying cerebral infarction / E. Uhl [et al.] // J. Neurol. Neurosurg. Psychiatry. - 2004. - Vol. 75. - P. 270-274.
Prediction of malignant course in MCA infarction by PET and microdialysis / C. Dohmen [et al.] //Stroke. - 2003. - Vol. 34. - P. 2152-2158.
Prediction of malignant middle cerebral artery infarction by diffusion-weighted imaging / C. Oppenheim [et al.] // Stroke. - 2000. - Vol. 31. - P. 2175-2181.
Prediction of malignant middle cerebral artery infarction by early perfusion- and diffusion-weighted magnetic resonance imaging / G.J. Thomalla [et al.] // Stroke. - 2003. - Vol. 34. - P. 1892-1899.
Predictors of fatal brain edema in massive hemispheric ischemic stroke / S.E. Kasner [et al.] / Stroke. - 2001. - Vol. 32. - P. 2117-2123.
Quality of life after decompressive craniectomy for malignant middle cerebral artery infarction / K. Vahedi [et al.] // J. Neurol. Neurosurg. Psychiatry. - 2005. - Vol. 76. - P. 1181-1182.
Quality of life after decompressive craniectomy in patients suffering from supratentorial brain ischemia / C. Woertgen [et al.] // Acta Neurochir. (Wien). - 2004. - Vol. 146. - P. 691-695.
Quality of life and neurobehavioral changes in survivors of malignant middle cerebral artery infarction / B. Benejam [et al.] // J. Neurol. - 2009. - Vol. 256. - P. 1126-1133.
Robertson, S.C. Clinical course and surgical management of massive cerebral infarction / S.C. Robertson, P. Lennarson, D.M. Hasan, V.C. Traynelis // Neurosurgery. - 2004. - Vol. 55. - P. 55-61.
Ropper, A.H. Brain edema after stroke. Clinical syndrome and intracranial pressure / A.H. Ropper, B. Shafran // Arch. Neurol. - 1984. - Vol. 41. - P. 26-29.
Ropper, A.H. Lateral displacement of the brain and level of consciousness in patients with an acute hemispheral mass / A.H. Ropper // N. Engl. J. Med. - 1986. - Vol. 314. - P. 953-958.
Safety and therapeutical benefit of hemicraniectomy combined with mild hypothermia in comparison with hemicraniectomy alone in patients with malignant ischemic stroke / T. Els [et al.] // Cerebrovasc. Dis. - 2006. - Vol. 21. - P. 79-85.
Schwab, S. Therapy of severe ischemic stroke: Breaking the conventional thinking / S. Schwab // Cerebrovasc. Dis. - 2005. - Vol. 20. - Suppl. 2. - P. 169-178.
Spreading depolarizations occur in human ischemic stroke with high incidence / C. Dohmen [et al.] / Ann. Neurol. - 2008. - Vol. 63. - P. 720-728.
Steiner, T. Treatment options for large hemispheric stroke / .T. Steiner, P. Ringleb, W. Hacke // Neurology. - 2001. - Vol. 57. - P. S61-68.
Stroke / G.A. Donnan [et al.] // Lancet. - 2008. -Vol. 371. - P. 1612-1623.
Surgical decompression for space-occupying cerebral infarction (the hemicraniectomy after middle cerebral artery infarction with life-threatening edema trial [HAMLET]): A multicentre, open, randomised trial / J. Hofmeijer [et al.] // Lancet Neurol. - 2009. - Vol. 8. - P. 326-333.
The prediction of malignant cerebral infarction by molecular brain barrier disruption markers / J. Serena [et al.] // Stroke. - 2005. - Vol. 36. - P. 1921-1926.
The value of intracranial pressure monitoring in acute hemispheric stroke / S. Schwab [et al.] // Neurology. - 1996. - Vol. 47. - 393-398.
Vahedi, K. Sequential-design, multicenter, randomized, controlled trial of early decompressive craniectomy in malignant middle cerebral artery infarction (DECIMAL trial) / K. Vahedi [et al.] // Stroke. - 2007. - 38. - P. 2506-2517.
Walz, B. Prognosis of patients after hemicraniectomy in malignant middle cerebral artery infarction / B. Walz, C. Zimmermann, S. Bottger, R.L. Haberl // J. Neurol. - 2002. - Vol. 249. - P. 11831190.
Wijdicks, E.F. Middle cerebral artery territory infarction and early brain swelling: Progression and effect of age on outcome / E.F. Wijdicks, M.N. Diringer // Mayo Clin. Proc. - 1998. - Vol. 73. - P. 829-836.
Yager, J.Y. Effect of mild hypothermia on cerebral energy metabolism during the evolution of hypoxic-ischemic brain damage in the immature rat /J.Y. Yager, J. Asselin // Stroke. - 1996. - Vol. 27. - P. 919-925.
