TREATMENT OF MALIGNANT MCA INFARCTION

  • Stefan Schwab Department of Neurology University of Erlangen
Ключевые слова: инсульт, злокачественный инфаркт СМА, гемикраниэктомия, декомпрессивная хирургия

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.

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Опубликован
2015-08-19
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Schwab S. TREATMENT OF MALIGNANT MCA INFARCTION. Журнал ГрГМУ (Journal GrSMU) [Интернет]. 19 август 2015 г. [цитируется по 29 март 2024 г.];(3(31):3-. доступно на: http://journal-grsmu.by/index.php/ojs/article/view/552