Decompressive craniotomy combined with temporal muscle sticking in the treatment of massive cerebral infarction

Abstract

Objective To investigate the clinical effects of decompressive craniotomy combined with temporal muscle sticking on massive cerebral infarction. Methods Eighty patients with massive cere-bral infarction were divided into two groups,40 patients in the treatment group underwent decompressive craniotomy combined with temporal muscle sticking,and 40 patients in the control group were given medi-cal treatment. The mortality rate and Glasgow outcome scale（GOS）scores were compared between the two groups. Results The mortality rate in the treatment group was 27. 5% . The survivors were followed up for 3 months to 6 months after surgery,and according to GOS,8 cases were graded as good,13 cases were gra-ded as moderate disability,5 cases were graded as severe disability,and 3 cases were graded as vegetative state. While in the control group,the mortality rate was 77. 5% . The survivors were followed up for 3 months to 6 months after surgery,and according to GOS,1 case was graded as good,3 cases were graded as moderate disability,3 cases were graded as severe disability,and 2 cases were graded as vegetative state. Conclusions Decompressive craniotomy combined with temporal muscle sticking can obviously re-duce the mortality rate of patients with massive cerebral infarction,and improve the neurological function in different degrees. Early stage surgical intervention is recommended if the disease condition permits. Key words: Massive cerebral infarction; Decompressive craniotomy; Temporal muscle sticking