Clinical neurology and neurosurgery
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Clin Neurol Neurosurg · Jun 2015
Multicenter StudyPrimary decompressive craniectomy for poor-grade middle cerebral artery aneurysms with associated intracerebral hemorrhage.
Aggressive surgery seems mandatory for poor-grade middle cerebral artery (MCA) aneurysm with associated intracerebral hemorrhage (ICH). However, primary decompressive craniectomy (DC) is controversial. We performed a case control study to define the role of primary DC. ⋯ Although primary DC does not increase postoperative complication and mortality risk, current results showed primary DC does not seem to be significantly associated with improved outcomes. However, more than one half of patients most benefit from primary DC. Further prospective controlled studies are warranted to clarify the issue.