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Revista médica de Chile

versão impressa ISSN 0034-9887

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MELLADO T, Patricio et al. Decompressive hemicraniectomy for malignant middle cerebral artery infarction. Report of two cases. Rev. méd. Chile [online]. 2005, vol.133, n.4, pp.447-452. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872005000400008.

Malignant middle cerebral territory infarction represents 5 to 10% of all brain infarctions. Its mortality is 80%, due to brain herniation and it is not reduced by medical treatment. Decompressive hemicraniectomy reduces mortality to 12%, and the subsequent quality of life of patients is acceptable. We report two male patients aged 61 and 54 years, with a malignant middle cerebral territory infarction who were treated with decompressive hemicraniectomy. After two years of follow up, both patients are self-sufficient and live at home with their families

Palavras-chave : Brain infarction; Intracranial pressure; Middle cerebral artery.

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