Demographics, Clinical Profile, and Outcome Correlations in Patients With Massive Cerebral Infarction: A Retrospective Study

MCI remains a neurological emergency with high mortality and disability. Early hospital arrival, younger age, and absence of midline shift significantly improved prognosis. Delayed presentation, severe baseline deficits, and radiological features such as hemorrhagic transformation and midline shift were key predictors of poor outcome. Limited use of reperfusion therapies due to late referrals underscores the urgent need for public education, improved emergency triage, and expanded access to neurocritical care. Strengthening early intervention strategies and minimizing in-hospital complications could substantially improve functional recovery in patients with MCI.