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Quality of life following surgical treatment of malignant middle cerebral artery infarction

A. Antuña-Ramos, M. Suárez-Suárez, M.A. Álvarez-Vega, S. Álvarez de Eulate-Beramendi, F. Seijo-Fernández [REV NEUROL 2012;55:651-657] PMID: 23172091 DOI: https://doi.org/10.33588/rn.5511.2012454

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Volumen 55 | Number 11 | Nº of views of the article 5.159 | Nº of PDF downloads 523 | Article publication date 01/12/2012

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ABSTRACT

INTRODUCTION Little work has been published on the capacity to adapt to the disease of patients with malignant middle cerebral artery infarction who have undergone decompressive surgery. The purpose of this study is to analyse the final quality of life and the degree of satisfaction of patients and their relatives.

PATIENTS AND METHODS We analysed 21 patients one year after their operation. The quality of life was evaluated using the Spanish version of the Sickness Impact Profile. In order to determine the degree of retrospective satisfaction, we asked relatives and patients whether, now that the patient’s current sequelae are known, they would have still agreed to a decompressive craniectomy.

RESULTS The physical sphere is felt to be more disrupted than that concerning emotional aspects. There are no differences in the quality of life between patients who have the right or the left hemisphere affected. Patients with a better functional situation report a better quality of life. Altogether, 81% of patients said they were satisfied.

CONCLUSIONS Despite the fact that all the patients show a loss of quality of life after a decompressive craniectomy, most of them seem to be satisfied with the treatment they have received, even in cases in which the dominant hemisphere is compromised or in those with a moderate-severe disability. KeywordsDecompressive surgery Hemicraniectomy Malignant infarction Middle cerebral artery Quality of life Sickness impact profile

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Quality of life following surgical treatment of malignant middle cerebral artery infarction

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