2/3/2024 0 Comments Massive strokeIn that procedure, doctors remove a piece of the skull temporarily, limiting further damage by giving the brain room to swell. Kelly and Holloway looked at patients who were treated with medical options alone and compared their outcomes to those of patients who had a surgical procedure known as a hemicraniectomy. At the very least, they’ll likely need help each day with tasks like bathing, cooking, and taking care of themselves. They may need a breathing or feeding tube. ![]() They may have lost their ability to speak or even to comprehend what is said to them. A patient might be paralyzed on one side of the body. Increased swelling and pressure in the brain diminish blood flow even further.Įven under the best circumstances, patients who have suffered such strokes face at least moderate disability, and often their challenges are severe, no matter what type of treatment is chosen. Further damage occurs when the damaged brain swells in the days immediately following the initial stroke, as delicate brain tissue is pushed up against the hard inner skull. Kelly and colleague Robert Holloway, M.D., studied three separate analyses of patients who had had a serious type of stroke known as a malignant middle cerebral artery infarction, in which blood flow to a large part of the brain is cut off. Kelly presented the findings last month at the International Stroke Conference in San Diego. Kelly, M.D., who has helped hundreds of families chart a course after severe stroke. “For families facing this difficult choice, the more information we can provide, the better for their decision-making,” said neurologist Adam G. The findings should help patients and families put into perspective a decision that is nearly always painful and difficult to make – whether putting a patient through aggressive surgery after a catastrophic stroke is worth it. ![]() The darker, wedge-shaped area on the left is the portion of the brain that has been damaged.Ĭhoosing to have aggressive brain surgery after suffering a severe stroke generally improves the patients’ lives and allows them to live longer, according to research by neurologists at the University of Rochester Medical Center. CT scan of the brain of a patient who has suffered a massive stroke.
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