Decompressive Hemicraniectomy and Favorable Outcome in a Pediatric Patient with Malignant Middle Cerebral Artery Infarction
We report a rare case of middle cerebral artery (MCA) stroke in a teenage girl with initial improvement, followed by progression to malignant MCA infarction, requiring an urgent decompressive hemicraniectomy (DHC). Additionally, we report improvement in all areas, including language, comprehension,...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2022/6500488 |
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| _version_ | 1832563316097024000 |
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| author | Ricardo Barrientos Carlos Sisniega Samanta Catueno Robin Hougen Ashley Hanna Utpal Bhalala |
| author_facet | Ricardo Barrientos Carlos Sisniega Samanta Catueno Robin Hougen Ashley Hanna Utpal Bhalala |
| author_sort | Ricardo Barrientos |
| collection | DOAJ |
| description | We report a rare case of middle cerebral artery (MCA) stroke in a teenage girl with initial improvement, followed by progression to malignant MCA infarction, requiring an urgent decompressive hemicraniectomy (DHC). Additionally, we report improvement in all areas, including language, comprehension, and motor skills at discharge and the 4-month follow-up. This rare presentation highlights the importance of monitoring the neurological status of a patient with an MCA infarct for progression to a life-threatening malignant MCA infarct. This case report also highlights the importance of consideration of DHC for a favorable outcome of the MMCA infarction. |
| format | Article |
| id | doaj-art-c0caa3a9ee0c486b85d3f93d0cd3361a |
| institution | Kabale University |
| issn | 2090-6811 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-c0caa3a9ee0c486b85d3f93d0cd3361a2025-02-03T01:20:34ZengWileyCase Reports in Pediatrics2090-68112022-01-01202210.1155/2022/6500488Decompressive Hemicraniectomy and Favorable Outcome in a Pediatric Patient with Malignant Middle Cerebral Artery InfarctionRicardo Barrientos0Carlos Sisniega1Samanta Catueno2Robin Hougen3Ashley Hanna4Utpal Bhalala5Driscoll Children’s HospitalDriscoll Children’s HospitalDriscoll Children’s HospitalDriscoll Children’s HospitalDriscoll Children’s HospitalDriscoll Children’s HospitalWe report a rare case of middle cerebral artery (MCA) stroke in a teenage girl with initial improvement, followed by progression to malignant MCA infarction, requiring an urgent decompressive hemicraniectomy (DHC). Additionally, we report improvement in all areas, including language, comprehension, and motor skills at discharge and the 4-month follow-up. This rare presentation highlights the importance of monitoring the neurological status of a patient with an MCA infarct for progression to a life-threatening malignant MCA infarct. This case report also highlights the importance of consideration of DHC for a favorable outcome of the MMCA infarction.http://dx.doi.org/10.1155/2022/6500488 |
| spellingShingle | Ricardo Barrientos Carlos Sisniega Samanta Catueno Robin Hougen Ashley Hanna Utpal Bhalala Decompressive Hemicraniectomy and Favorable Outcome in a Pediatric Patient with Malignant Middle Cerebral Artery Infarction Case Reports in Pediatrics |
| title | Decompressive Hemicraniectomy and Favorable Outcome in a Pediatric Patient with Malignant Middle Cerebral Artery Infarction |
| title_full | Decompressive Hemicraniectomy and Favorable Outcome in a Pediatric Patient with Malignant Middle Cerebral Artery Infarction |
| title_fullStr | Decompressive Hemicraniectomy and Favorable Outcome in a Pediatric Patient with Malignant Middle Cerebral Artery Infarction |
| title_full_unstemmed | Decompressive Hemicraniectomy and Favorable Outcome in a Pediatric Patient with Malignant Middle Cerebral Artery Infarction |
| title_short | Decompressive Hemicraniectomy and Favorable Outcome in a Pediatric Patient with Malignant Middle Cerebral Artery Infarction |
| title_sort | decompressive hemicraniectomy and favorable outcome in a pediatric patient with malignant middle cerebral artery infarction |
| url | http://dx.doi.org/10.1155/2022/6500488 |
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