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중증 대뇌동맥 경색 환자에서 두개감압술 후의 기능적 예후
Functional Outcomes of Patients with Severe MCA Infarction after Decompressive Craniectomy

Brain & NeuroRehabilitation 2014년 7권 1호 p.48 ~ p.54

이경우(Lee Kyeong-Woo) - 동아대학교병원 재활의학과
김상범(Kim Sang-Beom) - 동아대학교병원 재활의학과
이종화(Lee Jong-Hwa) - 동아대학교병원 재활의학과
김민아(Kim Min-Ah) - 동아대학교병원 재활의학과
이재원(Ri Jae-Won) - 동아대학교병원 재활의학과
박진기(Park Jin-Gee) - 동아대학교병원 재활의학과

Abstract

Objective: To compare the functional outcomes between surgical treatment and conservative medicaltreatment for severe middle cerebral artery (MCA) infarction.

Method: This is comparative analysis of prospectively documented data with 25 patients have malignantMCA infarction. Ten patients in Group A (male 7, female 3) received surgical treatment such asdecompressive craniectomy, and fifteen patients in Group B (male 10, female 5) received conservativemedical treatment. We defined MCA infarction as “severe” when it concerned both the deep andsuperficial areas of the MCA or when the Functional Independence Measure (FIM) was lower to 75on admission to our department. Functional status was measured using modified Rankin Scale (mRS),FIM, Motricity Index (MI) and Trunk Control Test (TCT). All evaluations were measured at baselineand 90 days after stroke.

Results: Mean age were 55.0 ± 8.6 and 58.7 ± 12.3 in Group A and B. Rt. MCA infarction were4 in Group A and 5 in Group B. Lt. MCA infarction were 5 in Group A and 10 in Group B. Baselinefunctional status between two groups was not significantly different. Each group showed functionalimprovement according to the time. When compared changes between two groups, arm Motricity Index,K-MMSE, mRS and FIM were no significant difference between two groups. Leg segments of MI andTCT was significantly improved in Group A more than B at 90 days after baseline evaluation (p＜0.05).

Conclusion: Decompressive craniectomy improved motor function of affected leg and trunk in patientswith severe MCA infarction more than conservative medical treatment alone.

키워드

cerebrovascular disease, decompressive craniectomy, functional outcome, stroke

KMID : 1202320140070010048

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KCD코드

ICD 03

건강보험코드

중증 대뇌동맥 경색 환자에서 두개감압술 후의 기능적 예후 Functional Outcomes of Patients with Severe MCA Infarction after Decompressive Craniectomy

Abstract

키워드

중증 대뇌동맥 경색 환자에서 두개감압술 후의 기능적 예후
Functional Outcomes of Patients with Severe MCA Infarction after Decompressive Craniectomy