What is a Hemicraniectomy?

Hemicraniectomy is a surgical procedure where a large flap of the skull is removed and the dura is opened; this gives space for the swollen brain to bulge and reduces the intracranial pressure.

What is the most common stroke syndrome?

Ischemic stroke This is the most common type of stroke. It happens when the brain’s blood vessels become narrowed or blocked, causing severely reduced blood flow (ischemia).

How long does it take to recover from MCA stroke?

Long-term recovery and rehabilitation may take months or even years. However, even very serious strokes can result in good recovery, and most people who experience MCA strokes are able to regain some function after the stroke.

What is the hardest surgery to perform?

7 of the most dangerous surgeries

• Craniectomy. A craniectomy involves removing a fraction of the skull to relieve pressure on the brain.
• Thoracic aortic dissection repair.
• Oesophagectomy.
• Spinal osteomyelitis surgery.
• Bladder cystectomy.
• Gastric bypass.
• Separation of conjoined twins.

What are the side effects of a craniotomy?

Risks of the procedure

• Infection.
• Bleeding.
• Blood clots.
• Pneumonia (infection of the lungs)
• Unstable blood pressure.
• Seizures.
• Muscle weakness.
• Brain swelling.

Which side is worse for a stroke?

Stroke usually affects one side of the brain. Movement and sensation for one side of the body is controlled by the opposite side of the brain. This means that if your stroke affected the left side of your brain, you will have problems with the right side of your body.

When to consider a hemicraniectomy in stroke patients?

Hemicraniectomy should be considered in patients in the early stages of extensive middle cerebral artery territory ischemic stroke as a life-saving measure. Hemicraniectomy should be considered in patients in the early stages of extensive middle cerebral artery territory ischemic stroke as a life-saving measure. 7.

Can a 60 year old have a decompressive hemicraniectomy?

The NICE decision aids for decompressive hemicraniectomy in people under 60 and decompressive hemicraniectomy in people over 60 can help healthcare Information about the NICE patient decision aids on decompressive hemicraniectomy surgery for stroke © NICE 2019. All rights reserved. Subject to Notice of rights.

What happens to your body after a hemicraniectomy?

Recovery after a hemicraniectomy takes time and patience. Rehabilitation may be prolonged, so it is important that you get as much information as you can about the recovery process so that you can help your loved one through the healing phase after a stroke.

How does decompressive hemicraniectomy affect the Mrs score?

The trials included 134 people under 60 years who had had a severe stroke. In the people who survived, decompressive hemicraniectomy led to an observed increase in the number of people with a score of 3 or less on the mRS, rather than a higher score, at 1 year compared with standard treatment (RR 1.52, 95% CI 0.90 to 2.57]