Preventive Suboccipital Decompressive Craniectomy for Cerebellar Infarction A Retrospective-Matched Case-Control Study
DC Field | Value | Language |
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dc.contributor.author | Kim, Myeong Jin | - |
dc.contributor.author | Park, Sang Kyu | - |
dc.contributor.author | Song, Jihye | - |
dc.contributor.author | Oh, Se-yang | - |
dc.contributor.author | Lim, Yong Cheol | - |
dc.contributor.author | Sim, Sook Yong | - |
dc.contributor.author | Shin, Yong Sam | - |
dc.contributor.author | Chung, Joonho | - |
dc.date.available | 2020-02-28T00:43:09Z | - |
dc.date.created | 2020-02-07 | - |
dc.date.issued | 2016-10 | - |
dc.identifier.issn | 0039-2499 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/7845 | - |
dc.description.abstract | Background and Purpose-No evidence is available on the benefits of preventive suboccipital decompressive craniectomy (SDC) for patients with cerebellar infarction. The purpose of this matched case-control study was to investigate whether preventive SDC was associated with good clinical outcomes in patients with cerebellar infarction and to evaluate its predisposing factors. Methods-Between March 2007 and September 2015, 28 patients underwent preventive SDC. We performed propensity score matching to establish a proper control group among 721 patients with cerebellar infarction during the same period. Group A (n=28) consists of those who underwent preventive SDC, and group B (n=56) consists of those who did not undergo preventive SDC. We analyzed and compared clinical outcomes between groups. Results-Clinical outcomes were better in group A than in group B at discharge (P=0.048) and 12-month follow-up (P=0.030). Group B had more deaths within 12 months than group A (log-rank, P<0.05). Logistic regression analysis showed that preventive SDC (odds ratio, 4.815; P=0.009) and the absence of brain stem infarction (odds ratio, 2.862; P=0.033) were independently associated with favorable outcomes (modified Rankin Scale score of 0-2) at 12-month follow-up. Conclusions-Favorable clinical outcomes including overall survival can be expected after preventive SDC in patients with a volume ratio between 0.25 and 0.33 and the absence of brain stem infarction. Among these patients, preventive SDC might be better than the best medical treatment alone. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | LIPPINCOTT WILLIAMS & WILKINS | - |
dc.relation.isPartOf | STROKE | - |
dc.subject | MIDDLE CEREBRAL-ARTERY | - |
dc.subject | SURGICAL-TREATMENT | - |
dc.subject | MANAGEMENT | - |
dc.subject | SURGERY | - |
dc.title | Preventive Suboccipital Decompressive Craniectomy for Cerebellar Infarction A Retrospective-Matched Case-Control Study | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000385410700030 | - |
dc.identifier.doi | 10.1161/STROKEAHA.116.014078 | - |
dc.identifier.bibliographicCitation | STROKE, v.47, no.10, pp.2565 - 2573 | - |
dc.identifier.scopusid | 2-s2.0-84986216552 | - |
dc.citation.endPage | 2573 | - |
dc.citation.startPage | 2565 | - |
dc.citation.title | STROKE | - |
dc.citation.volume | 47 | - |
dc.citation.number | 10 | - |
dc.contributor.affiliatedAuthor | Kim, Myeong Jin | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | brain infarction | - |
dc.subject.keywordAuthor | cerebellar diseases | - |
dc.subject.keywordAuthor | decompressive craniectomy | - |
dc.subject.keywordAuthor | infarction | - |
dc.subject.keywordAuthor | propensity score | - |
dc.subject.keywordPlus | MIDDLE CEREBRAL-ARTERY | - |
dc.subject.keywordPlus | SURGICAL-TREATMENT | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | SURGERY | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Peripheral Vascular Disease | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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