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  • Title: Decompressive craniectomy 116 h after malignant middle cerebral artery infarction.
    Author: Yamaguchi H, Yamamoto K, Akutsu N, Kusumoto M, Kajihara S, Yamaguchi Y, Takeda H, Kawamura A, Uetani Y.
    Journal: Pediatr Int; 2016 Jul; 58(7):622-4. PubMed ID: 26892675.
    Abstract:
    The optimal timing of decompressive craniectomy in pediatric patients after presentation with malignant middle cerebral artery infarction is unknown. We report herein the case of a previously healthy 6-year-old Japanese girl who had good outcome after emergency decompressive craniectomy 116 h after malignant middle cerebral artery infarction. This case suggests that the timing of decompressive craniectomy can be delayed until deterioration of neurological findings and, compared with adults, a more prolonged time course for surgical intervention might be acceptable.
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