Clinical evaluation of decompressive craniectomy in malignant middle cerebral artery infarction using 3d area and volume calculations

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dc.authorid0000-0002-1766-2778
dc.contributor.authorKitiş, Serkan
dc.contributor.authorÇevik, Serdar
dc.contributor.authorKöse, Kevser Banu
dc.contributor.authorBaygül, Arzu
dc.contributor.authorCömert, Serhat
dc.contributor.authorÜnlü Ünsal, Ülkü
dc.contributor.authorGündağ Papaker, Meliha
dc.date.accessioned2021-10-22T07:44:05Z
dc.date.available2021-10-22T07:44:05Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Mühendislik ve Doğa Bilimleri Fakültesi, Biyomedikal Mühendisliği Bölümü
dc.description.abstractObjective: We aimed to measure the craniectomy area using three-dimensional (3D) anatomic area and volume calculations to demonstrate that it can be an effective criterion for evaluating survival and functional outcomes of patients with malignant middle cerebral artery (MCA) infarction. Material and Methods: The patients diagnosed with malignant ischemic stroke between 2013 and 2018, for which they underwent surgery due to deterioration in their neurological function, were retrospectively reviewed. Radiological images of all patients were evaluated; total brain tissue volume, ischemic brain tissue volume, total calvarial bone area, and decompression bone area were measured using 3D anatomical area and volume calculations. Results: In total, 45 patients (27 males and 18 females) had been treated with decompressive craniectomy (DC). The removed bone area was found to be significantly related to the outcome in patients with MCA infarction. The average decompression bone area and mean bone removal rate for patients who died after DC were 112 ± 27 cm2and 20%, whereas these values for surviving patients were 149 ± 29 cm2and 26% (P = 0.001), respectively. At the 6-month follow-up, the average decompression bone area and mean bone removal rate for patients with severe disability were 126 ± 30 cm2and 22.2%, whereas these values for patients without severe disability were 159 cm2± 26 and 28.4% (P = 0.001), respectively. Conclusion: In patients with malignant MCA infarction, the decompression area is associated with favorable functional outcomes, first, survival and second, 6-month modified Rankin scale score distribution after craniectomy.
dc.identifier.citationKitiş, S., Çevik, S., Köse, K. B., Baygül, A., Cömert, S., Ünlü Ünsal, Ü. ... Gündağ Papaker, M. (2021). Clinical evaluation of decompressive craniectomy in malignant middle cerebral artery infarction using 3d area and volume calculations. Annals of Indian Academy of Neurology, 24(4), 513-517. https://dx.doi.org/10.4103/aian.AIAN_518_20
dc.identifier.doi10.4103/aian.AIAN_518_20
dc.identifier.endpage517
dc.identifier.issn0972-2327
dc.identifier.issn1998-3549
dc.identifier.issue4
dc.identifier.scopusqualityQ3
dc.identifier.startpage513
dc.identifier.urihttps://dx.doi.org/10.4103/aian.AIAN_518_20
dc.identifier.urihttps://hdl.handle.net/20.500.12511/8502
dc.identifier.volume24
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWolters Kluwer Medknow Publications
dc.relation.ispartofAnnals of Indian Academy of Neurologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc-sa/4.0/*
dc.subjectCraniectomy Area
dc.subjectDecompressive Craniectomy
dc.subjectMiddle Cerebral Artery Infarction
dc.subjectModified Rankin Scale
dc.subjectOutcome
dc.titleClinical evaluation of decompressive craniectomy in malignant middle cerebral artery infarction using 3d area and volume calculations
dc.typeArticle

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