Large cerebral infarctions can result in malignant cerebral oedema leading horizontal tissue swelling, transtentorial herniation and death. Multiple studies have demonstrated the utility of decompressive hemicraniectomy as a life sustaining measure.1 The procedure remains controversial because of concern that in a non-selected population, survivors may be left with severe disability and diminished quality of life.2 The current study by Casolla, et al , identified a single centre case series of 212 patients with large middle cerebral artery infarcts who underwent decompressive craniectomy.3 Although the centre treated all patients irrespective of age after DESTINY II was published in 2014, approximately 87% of patients were aged 60 or younger.4 The 30-day mortality was 16.5%. A particular strength of their …

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大笔触可能会导致大问题。

较大的脑梗塞可导致恶性脑水肿，导致水平组织肿胀，颞下肌疝和死亡。多项研究表明，减压性半结肠切除术可作为维持生命的措施。1该程序仍存在争议，因为担心在未选择的人群中，幸存者可能会严重残废并降低生活质量。2Casolla当前的研究等人确定了一个中心病例系列，其中包括接受减压颅骨切除术的212例大面积中脑动脉梗死患者。3尽管该中心在2014年发表了《 DESTINY II》后不分年龄，对所有患者进行了治疗，但约有87％的患者年龄60岁或更年轻。430天死亡率为16.5％。他们…的特殊力量