What is the outcome of decompressive hemicraniectomy for malignant middle cerebral artery infarction?
A nationwide survey of decompressive hemicraniectomy for malignant middle cerebral artery infarction in Japan found that the outcome was favorable, with a mortality rate of 11.8% and a favorable outcome rate of 70.3%. A systematic review and meta-analysis of decompressive hemicraniectomy for malignant middle cerebral artery infarction found that the procedure was associated with decreased mortality and improved functional outcome when compared to medical treatment alone. A review and meta-analysis of decompressive hemicraniectomy for malignant middle cerebral artery infarction in patients older than 70 years found that the procedure was associated with significantly lower mortality and improved functional outcome when compared to medical treatment alone.