@article{article_907982, title={Assessing the effect of decopmression surgery performed due to malignant ischemic stroke on the quality of life}, journal={Balıkesir Medical Journal}, volume={5}, pages={103–108}, year={2021}, DOI={10.33716/bmedj.907982}, author={Şimşek, Fatma and Bilge, Nuray and Koçak, Mehmet Nuri and Ceylan, Mustafa and Eren, Alper and Yevgi, Recep and Karaavcı, Nuh Çağrı}, keywords={iskemik inme, dekompresyon kraniektomi, prognoz, mortalite}, abstract={<div style="text-align:justify;"> <b style="font-size:.9em;"> <span style="font-size:12px;">Aim: </span> </b> <span style="font-size:12px;"> Decompressive craniectomy is one of the treatment methods that reduces mortality, when </span> <span style="font-size:12px;">used in eligible patients for the treatment of malignant ischemic stroke (MIS). In this study, we </span> </div> <div style="text-align:justify;"> <span style="font-size:12px;">aimed to assess the effect of age and the timing of surgery on the quality of life and on the </span> <span style="font-size:12px;">prognosis of patients that underwent decompressive craniectomy. </span> </div> <div style="text-align:justify;"> <span style="font-size:.9em;"> <span style="font-size:12px;"> <b>Material and Method: </b> </span> </span> <span style="font-size:12px;">The files of 45 patients between the ages of 24-98, who were </span> <span style="font-size:12px;">recommended decompressive craniectomy in connection with malignant ischemic stroke, were </span> <span style="font-size:12px;">reviewed within the scope of the study.  </span> <span style="font-size:.9em;"> <span style="font-size:12px;"> <b>Result: </b> </span> </span> <span style="font-size:12px;">27 (60%) patients, who agreed to undergoing surgery, and 18 (40%) patients, who did </span> <span style="font-size:12px;">not agree to undergoing surgery, were taken under review. A significant improvement (between </span> <span style="font-size:12px;">0 and 3) was observed in the modified Rankin Scale Scores of the two patients that underwent </span> <span style="font-size:12px;">surgery. All the patients (n = 4) from within the group of patients that did not agree to a surgery, </span> <span style="font-size:12px;">who lived for more than 6 months, were found to have a modified Rankin Scale Score of 5 and </span> <span style="font-size:12px;">needed support to fulfill their daily life activities.  </span> <span style="font-size:.9em;"> <span style="font-size:12px;"> <b>Conclusion: </b> </span> </span> <span style="font-size:12px;"> It has been observed that performing a decompressive craniectomy after 72 hours </span> <span style="font-size:12px;">following clinical deterioration and radiological shift did not have a significant effect on mortality </span> <span style="font-size:12px;">and morbidity. Studies with larger patient groups are needed to be carried out in order to </span> <span style="font-size:12px;">determine the applicability criteria of surgical treatment. </span> </div>}, number={2}, publisher={Balıkesir Üniversitesi}