소뇌의 급성기 뇌졸중 환자에서 부분적 두개골 피판을 이용한 후두와 감압적 두개절개술과 두개절제술의 추적관찰 결과 비교

• 영문명: The outcomes of suboccipital craniotomy with obtuse-angled partial bone flap comparing with craniectomy in cerebellar hemorrhage or infarction
• 발행기관: 대한두개저학회
• 저자명: 박승섭 신일영
• 간행물 정보: 『대한두개저학회지』제17권 제2호, 99~104쪽, 전체 6쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2022.09.30

영문 초록

Background : In patients with severe cerebellar hemorrhage or infarction, life-threatening complications may occur. It is generally known that early decompressive craniectomy is superior to craniotomy, but there is no clear guideline for the procedure. Materials and Methods : From April 2014 to April 2021, patients who underwent suboccipital decompressive craniectomy for cerebellar stroke were treated surgically and followed up. Since September 2020, we have performed craniotomy with obtuse angled partial bone flap in 6 patients. We compared the results of 6 months follow-up in these patients with 9 patients who had previously had only decompressive craniectomy. Results : There were no deaths during 6 months in either group. Preoperative modified Rankin Scale (mRS) (P = 0.659), 1 month (P = 0.659), 3 months (P = 0.713), and 6 months (P > 0.545) postoperative mRS showed no significant difference between them. Conclusions : The results were not inferior to those who underwent suboccipital craniotomy with obtuse-angled partial bone flap and those who underwent craniectomy.

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INTRODUCTION

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DISCUSSION

CONFLICT OF INTEREST

REFERENCES

키워드

Cerebellum Craniotomy Decompressive craniectomy Hemorrhagic stroke Ischemic stroke