To determine the prognostic factors influencing the results of decompressive craniectomy for large supratentorial cerebral infarction. Subject and methods: Between January 2013 and November 2016 at Choray Hospital, 75 patients were diagnosed with a large supratentorial cerebral infarction and underwent the decompressive craniectomy. | Journal of military pharmaco-medicine no9-2018 THE PROGNOSTIC FACTORS OF DECOMPRESSIVE CRANIECTOMY FOR LARGE SUPRATENTORIAL INFARCTION IN CHORAY HOSPITAL Truong Da1; Bui Quang Tuyen2; Vu Van Hoe2 SUMMARY Objectives: To determine the prognostic factors influencing the results of decompressive craniectomy for large supratentorial cerebral infarction. Subject and methods: Between January 2013 and November 2016 at Choray Hospital, 75 patients were diagnosed with a large supratentorial cerebral infarction and underwent the decompressive craniectomy. Results: The mean age: ± years. Group of age 72 hours after stroke, there were 06 deaths (mortality rate: 60%). The largest open skull portion size was 16 x 12 cm (no death out of 17 cases); the smallest size was 12 x 12 cm (8 deaths out of 26 cases). GCS before surgery ≤ 8: 34 cases (alive: 26 cases; dead: 08 cases) and GCS before surgery > 8: 41 cases (alive: 40 cases; dead: 01 cases). The mortality rate at discharge: 12%. Postoperative complications were 20%. Conclusion: The age, time for craniectomy, size of the open skull portion, GCS before surgery are the prognostic factors affecting the result of decompressive craniectomy for large supratentorial cerebral infarction. * Keywords: Decompressive craniectomy; Large supratentorial cerebral infarction; Prognostic factors. INTRODUCTION Scarcella was the first person to describe a cranial opening for cerebral infarction to reduce intracerebral pressure and prevent brain from herniating in 1956. According to Zweckberger, for which internal medical treatment is used, the mortality rate can be up to 80% [12]. Thus, Desiree (2000), Cho (2011), Kenning (2012) and many other neurosurgeons supposed that decompressive craniectomy for large and malignant cerebral infarction is effective in reducing mortality and restricting neurological sequelae [2, 4, 6]. In the past 10 years, the Department of Neurosurgery in Choray Hospital has done the decompressive craniectomy .
