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Research ArticleOriginal Article
Open Access

Decompressive craniectomy is a life-saving procedure in malignant MCA infarction

Lina Alhumaid, Abdallh Almaneea, Athal Al-Khalaf, Abdullah AlRuwaita, Ahmad AlOraidi, Aamir Omair and Ismail A. Khatri
Neurosciences Journal July 2021, 26 (3) 248-253; DOI: https://doi.org/10.17712/nsj.2021.3.20200187
Lina Alhumaid
From the College of Medicine (Alhumaid, Almaneea, AlOraidi, Khatri), Research Unit (Omair), King Saud bin Abdulaziz University for Health Sciences, from the Division of Neurology (Al-Khalaf, Khatri) Department of Medicine, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, from the Department of Neurology (AlRuwaita), King Saud Medical City, from the Division of Neurosurgery (AlOraidi), Department of Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, from King Abdullah International Medical Research Center (AlOraidi, Khatri), Riyadh, Kingdom of Saudi Arabia
Med Stu
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Abdallh Almaneea
From the College of Medicine (Alhumaid, Almaneea, AlOraidi, Khatri), Research Unit (Omair), King Saud bin Abdulaziz University for Health Sciences, from the Division of Neurology (Al-Khalaf, Khatri) Department of Medicine, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, from the Department of Neurology (AlRuwaita), King Saud Medical City, from the Division of Neurosurgery (AlOraidi), Department of Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, from King Abdullah International Medical Research Center (AlOraidi, Khatri), Riyadh, Kingdom of Saudi Arabia
Med Stu
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Athal Al-Khalaf
From the College of Medicine (Alhumaid, Almaneea, AlOraidi, Khatri), Research Unit (Omair), King Saud bin Abdulaziz University for Health Sciences, from the Division of Neurology (Al-Khalaf, Khatri) Department of Medicine, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, from the Department of Neurology (AlRuwaita), King Saud Medical City, from the Division of Neurosurgery (AlOraidi), Department of Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, from King Abdullah International Medical Research Center (AlOraidi, Khatri), Riyadh, Kingdom of Saudi Arabia
MD, PhD
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Abdullah AlRuwaita
From the College of Medicine (Alhumaid, Almaneea, AlOraidi, Khatri), Research Unit (Omair), King Saud bin Abdulaziz University for Health Sciences, from the Division of Neurology (Al-Khalaf, Khatri) Department of Medicine, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, from the Department of Neurology (AlRuwaita), King Saud Medical City, from the Division of Neurosurgery (AlOraidi), Department of Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, from King Abdullah International Medical Research Center (AlOraidi, Khatri), Riyadh, Kingdom of Saudi Arabia
MBBS, SBN
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Ahmad AlOraidi
From the College of Medicine (Alhumaid, Almaneea, AlOraidi, Khatri), Research Unit (Omair), King Saud bin Abdulaziz University for Health Sciences, from the Division of Neurology (Al-Khalaf, Khatri) Department of Medicine, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, from the Department of Neurology (AlRuwaita), King Saud Medical City, from the Division of Neurosurgery (AlOraidi), Department of Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, from King Abdullah International Medical Research Center (AlOraidi, Khatri), Riyadh, Kingdom of Saudi Arabia
FRCSC
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Aamir Omair
From the College of Medicine (Alhumaid, Almaneea, AlOraidi, Khatri), Research Unit (Omair), King Saud bin Abdulaziz University for Health Sciences, from the Division of Neurology (Al-Khalaf, Khatri) Department of Medicine, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, from the Department of Neurology (AlRuwaita), King Saud Medical City, from the Division of Neurosurgery (AlOraidi), Department of Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, from King Abdullah International Medical Research Center (AlOraidi, Khatri), Riyadh, Kingdom of Saudi Arabia
MBBS, MPH
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Ismail A. Khatri
From the College of Medicine (Alhumaid, Almaneea, AlOraidi, Khatri), Research Unit (Omair), King Saud bin Abdulaziz University for Health Sciences, from the Division of Neurology (Al-Khalaf, Khatri) Department of Medicine, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, from the Department of Neurology (AlRuwaita), King Saud Medical City, from the Division of Neurosurgery (AlOraidi), Department of Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, from King Abdullah International Medical Research Center (AlOraidi, Khatri), Riyadh, Kingdom of Saudi Arabia
MD, FAAN
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Article Figures & Data

Tables

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    Table 1

    - Demographic features and vascular risk factors of patients who underwent decompressive craniectomy.

    Patient characteriticsTotal (n=18) n (%)
    Demographics
    Age in years (mean ± SD)50 ± 10
    Gender
    Male13 (72)
    Female5 (28)
    Vascular Risk Factors
    Hypertension8 (44)
    Diabetes mellitus6 (33)
    Dyslipidemia5 (28)
    Atrial fibrillation4 (22)
    Current smoker6 (33)
    Past smoking history5 (28)
    Coronary artery disease1 (6)
    Obesity3 (17)
    • View popup
    Table 2

    - Stroke severity and common symptoms at presentation of patients who underwent decompressive craniectomy.

    NIHSS scoren (%)
    Stroke Severity
    5–158 (44)
    16–259 (50)
    >251 (6)
    Presenting Symptoms
    Unilateral weakness18 (100)
    Speech or language dysfunction11 (61)
    Gaze preference9 (50)
    Altered level of consciousness9 (50)
    Seizure4 (22)
    Vomiting1 (6)
    Sudden headache1 (6)
    • View popup
    Table 3

    - Stroke- and surgery-related complications in patients who underwent decompressive craniectomy.

    Stroke-related Complicationn (%)
    Hemorrhagic transformation9 (50)
    Recurrent stroke4 (22)
    Respiratory tract infection10 (56)
    Urinary tract infection7 (39)
    Sepsis4 (22)
    Deep vein thrombosis5 (28)
    Pulmonary embolism2 (11)
    Seizures/Epilepsy5 (28)
    Pressure ulcers3 (17)
    Myocardial infarction2 (11)
    Tracheostomy tube placement7 (39)
    Gastrostomy tube placement5 (28)
    Death2 (11)
    Surgery-related Complications
    Wound infection3 (17)
    Epidural hematoma2 (11)
    Subdural hygroma1 (6)
    Sunken skin flap syndrome3 (17)
    Cerebrospinal fluid leak1 (6)
    Bone resorption0 (0)
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Neurosciences Journal: 26 (3)
Neurosciences Journal
Vol. 26, Issue 3
1 Jul 2021
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Decompressive craniectomy is a life-saving procedure in malignant MCA infarction
Lina Alhumaid, Abdallh Almaneea, Athal Al-Khalaf, Abdullah AlRuwaita, Ahmad AlOraidi, Aamir Omair, Ismail A. Khatri
Neurosciences Journal Jul 2021, 26 (3) 248-253; DOI: 10.17712/nsj.2021.3.20200187

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Decompressive craniectomy is a life-saving procedure in malignant MCA infarction
Lina Alhumaid, Abdallh Almaneea, Athal Al-Khalaf, Abdullah AlRuwaita, Ahmad AlOraidi, Aamir Omair, Ismail A. Khatri
Neurosciences Journal Jul 2021, 26 (3) 248-253; DOI: 10.17712/nsj.2021.3.20200187
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© 2025 Neurosciences Journal Neurosciences is copyright under the Berne Convention and the International Copyright Convention. All rights reserved. Neurosciences is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3183. Print ISSN 1319-6138.

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