Indications, Timing, and Outcome of Decompressive Craniectomy in Malignant Middle Cerebral Artery Infarction: A Swedish Multicenter Study
Indication and timing of DC as a treatment of MMI demonstrated notable discrepancies in surgical practice across centers and compared to landmark RCTs. However, despite differences in timing and indications for DC, the outcome did not differ significantly across centers. Our findings provide insight into the outcome of DC performed for MMI outside the strict criteria supported by level 1 evidence.
Authors
- Klas Holmgren (ORCID: https://orcid.org/0000-0002-8611-1304)
- Alba Corell (ORCID: https://orcid.org/0000-0002-6329-2392)
- Richard Ågren (ORCID: https://orcid.org/0000-0003-1331-7907)
- Peter Lindvall (ORCID: https://orcid.org/0000-0002-9552-2957)
- Per Enblad (ORCID: https://orcid.org/0000-0003-4364-1919)
- Emilia Muncan
- Modar Alhamdan (ORCID: https://orcid.org/0009-0003-3860-5742)
- Bjartur Sæmundsson
- Robert Nilsson
- Teodor Svedung Wettervik
- Alexander Fletcher-Sandersjöö
- Lars-Owe Koskinen
Institutions
- Uppsala University (SE)
- Karolinska University Hospital (SE)
- Sahlgrenska University Hospital (SE)
- University of Gothenburg (SE)
- Umeå University (SE)
Publication Details
- Journal
- World Neurosurgery
- Published
- 2025-12-26
- DOI
- https://doi.org/10.1016/j.wneu.2025.124761
- Primary Topic
- Acute Ischemic Stroke Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00