A Study of Outcome of Decompressive Craniectomy in Acute Massive Cerebrovascular Accidents

Abstract

Males had higher preponderance among all the stroke patients. In the infarct group 71.42% were males where in females were females were 28.57% with male–female ratio of 2.5 :1. 73.33% were males, whereas females were 26.67% in hemorrhagic group. Hypertension was the most common risk factor comprising of 64% in decompressed group and 70% in non decompressed group. This was followed by alcoholism with 62% in decompressed group and 36.67% in non decompressed group. Craniopatriæxostotomy is used often for cerebellar flow-related edema and expands space more often when there is still a reasonable volume of fluid across the brain to most patients, helping with functional outcomes. The clinical performance is enhanced for patients who make certain, individual decisions and get their procedures done as early as early as possible after stroke. Rehabilitation is also is needed and can be permanent, and in some cases, so judgments on the quality of life of participants, so an understanding of how each group is doing is essential. Malignant Stroke was most common in 5 th and 6th decade (44%). Diabetes was prevalent in 44% of decompressed patients and in 46.67% of non-decompressed group. Smoking and cardiac diseases were the other prominent risk factors. Young strokes secondary to vasculitis were less but showed prevalence of 2%.68.18% of patients in ischaemic group who underwent decompression had involvement of dominant lobe and 71.43% in hemorrhagic group had dominant lobe involvement.