Relias Media - Continuing Medical Education Publishing

The trusted source for

healthcare information and

CONTINUING EDUCATION.

  • Sign In
  • Sign Out
  • MyAHC
    • Home
      • Home
      • Newsletters
      • Blogs
      • Archives
      • CME/CE Map
      • Shop
    • Emergency
      • All Products
      • Publications
      • Study Guides
      • Webinars
      • Group Sales
    • Hospital
      • All Products
      • Publications
      • Study Guides
      • Webinars
      • Group Sales
    • Clinical
      • All Products
      • Publications
      • Study Guides
      • Webinars
      • Group Sales
    • All Access
      • Subscribe Now
      • My Subscription
    • My Account
      • My Subscriptions
      • My Content
      • My Orders
      • My CME/CE
      • My Transcript
    Home » Stroke Alert: A Review of Current Clinical Stroke Literature

    Stroke Alert: A Review of Current Clinical Stroke Literature

    May 1, 2014
    No Comments
    Reprints
    Facebook Twitter Linkedin Share Share

    Related Articles

    Stroke Alert: A Review of Current Clinical Stroke Literature

    Stroke Alert: A Review of Current Clinical Stroke Literature

    Stroke Alert: A Review of Current Clinical Stroke Literature

    Keywords

    Neurology

    Stroke Alert: A Review of Current Clinical Stroke Literature

    By Matthew E. Fink, MD,

    Professor and Chairman, Department of Neurology, Weill Cornell Medical College, and Neurologist-in-Chief, New York Presbyterian Hospital

    Hemicraniectomy in Older Patients with Large Middle Cerebral Artery Infarcts Reduces Mortality

    Source: Juttler E, et al, for the DESTINY II Investigators. Hemicraniectomy in older patients with extensive middle-cerebral-artery stroke. N Engl J Med 2014;370:1091-1100.

    In an earlier study of early decompressive hemicraniectomy for large middle cerebral artery strokes, the same investigators demonstrated reduced mortality without increasing the risk of very severe disability among patients ≤ 60 years of age. These investigators now report the results of a similar trial in 112 patients, ≥ 61 years of age (mean age 70 years; range 61-82) who were randomized to either hemicraniectomy within 48 hours or conservative treatment in the intensive care unit. The primary endpoint was survival without severe disability, defined as a modified Rankin score of 0 to 4.

    Hemicraniectomy improved the primary outcome, with the proportion of patients who survived without severe disability being 38% in hemicraniectomy group, compared to 18% in the control group. This result was a direct result of a lower mortality in the surgical group, and no difference between the groups in the degree of severe disability. The results of this trial in an older age group is quite similar to what was found in younger patients, and this procedure therefore remains an option for patients of all ages. However, patients and families should be made aware that a successful hemicraniectomy may improve survival, but it will not improve neurological recovery.

    Post a comment to this article

    Report Abusive Comment

    www.reliasmedia.com

    Neurology Alert

    View PDF
    Neurology Alert 2014-05-01
    May 1, 2014

    Table Of Contents

    Hyperbaric Oxygen Therapy for Blast-related Postconcussion Syndrome: Does It Work?

    Baseline Impairments and Decline in Cognition in Early Parkinson’s Disease

    Sleeping Pills Increase Risk of Death

    B-lymphocyte Targeted Therapies for MS — Paradoxical Effect of Atacicept

    Non-Oculopharyngeal Involvement in OPMD

    Stroke Alert: A Review of Current Clinical Stroke Literature

    Stroke Alert: A Review of Current Clinical Stroke Literature

    Begin Test
    Buy this Issue/Course

    Shop Now: Search Products

    • Subscription Publications
    • Books & Study Guides
    • Webinars
    • Group & Site
      Licenses
    • State CME/CE
      Requirements

    Webinars And Events

    View All Events
    • Home
      • Home
      • Newsletters
      • Blogs
      • Archives
      • CME/CE Map
      • Shop
    • Emergency
      • All Products
      • Publications
      • Study Guides
      • Webinars
      • Group Sales
    • Hospital
      • All Products
      • Publications
      • Study Guides
      • Webinars
      • Group Sales
    • Clinical
      • All Products
      • Publications
      • Study Guides
      • Webinars
      • Group Sales
    • All Access
      • Subscribe Now
      • My Subscription
    • My Account
      • My Subscriptions
      • My Content
      • My Orders
      • My CME/CE
      • My Transcript
    • Help
    • Search
    • About Us
    • Sign In
    • Register
    Relias Media - Continuing Medical Education Publishing

    The trusted source for

    healthcare information and

    CONTINUING EDUCATION.

    Customer Service

    customerservice@reliasmedia.com

    U.S. and Canada: 1-800-688-2421

    International +1-404-262-5476

    Accounts Receivable

    1-800-370-9210
    ReliasMedia_AR@reliasmedia.com

    Mailing Address

    • 1010 Sync St., Suite 100
      Morrisville, NC 27560-5468
      USA

    © 2021 Relias. All rights reserved.

    Do Not Sell My Personal Information  Privacy Policy  Terms of Use  Contact Us  Reprints  Group Sales

    For DSR inquiries or complaints, please reach out to Wes Vaux, Data Privacy Officer, DPO@relias.com

    Design, CMS, Hosting & Web Development :: ePublishing