Abstract
Patients with a hemispheric infarct and massive space-occupying brain oedema have a poor prognosis. Despite intensive conservative treatment, the case fatality rate may be as high as 80%, and most survivors are left severely disabled. Non-randomised studies suggest that decompressive surgery substantially reduces mortality and improves the functional outcome of survivors. The 'Hemicraniectomy after middle cerebral artery infarction with life-threatening edema trial' (HAMLET) is a newly-conceived randomised multi-centre clinical trial that compares the efficacy of decompressive surgery to improve functional outcome with that of conservative treatment in patients with space-occupying supratentorial infarction.
Translated title of the contribution | Surgical decompression in space-occupying cerebral infarct; notification of a randomised trial |
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Original language | Dutch |
Pages (from-to) | 2594-2596 |
Number of pages | 3 |
Journal | Nederlands tijdschrift voor geneeskunde |
Volume | 147 |
Issue number | 52 |
Publication status | Published - 27 Dec 2003 |
Externally published | Yes |
Keywords
- n/a OA procedure