The influence of decompressive craniectomy for major stroke on early cerebral perfusion.

CONCLUSIONS The presurgical perfusion abnormalities likely reflected local pressure-induced hypoperfusion with impaired autoregulation. The improvement in perfusion after decompression implied an increase in perfusion pressure, likely linked to partial restoration of autoregulation. The increase in perfusion that was observed might partially be responsible for improved clinical outcome following decompressive surgery for major stroke. The predictive value of perfusion CT on outcome needs to be evaluated in larger trials. PMID: 25635482 [PubMed - as supplied by publisher]

http://www.ncbi.nlm.nih.gov/pubmed/25635482?dopt=Abstract

Source: Journal of Neurosurgery - January 30, 2015 Category: Neurosurgery Authors: Slotty PJ, Kamp MA, Beez T, Beenen H, Steiger HJ, Turowski B, Hänggi D Tags: J Neurosurg Source Type: research