優位側大脳半球の激症型出血性脳梗塞に対する減圧手術

概要

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The authors present their experience with two cases of hemorrhagic infarction of the dominant sided cerebral hemisphere with fulminating clinical course. On the basis of the operative results of two cases, the method and indication of decompressive surgery are discussed in the treatment of severe hemorrhagic infarction of the dominant sided cerebral hemisphere.<BR>The first case was operated on successfully by the extensive, internal, and external surgical decompression; hematoma removal, necrotomy, temporal lobectomy, incision of tentoreal hiatus, and removal of large craniotomy flap. The other case was treated only by external decompression, resulting in death.<BR>The authors' experience suggested that extensive decompressive surgery should be considered even in the cases of hemorrhagic infarction of the dominant sided cerebral hemisphere with fulminating clinical course as early as possible.
The Japanese Society on Surgery for Cerebral Strokeの論文