Abstract

Aim: The aim of the study is to evaluate patients who underwent decompressive surgery followed by malignant MCA infarction diagnosis in our center and compare and discuss our results with the current literature.
Materials and Methods: This is a retrospective evaluation of thirty-one malignant middle serebral artery infarction patients who underwent decompressive surgery and were admitted to the Inonu University Turgut Ozal Medical Center, Neurology Clinic Stroke Unit between January 2013 and May 2015.
Results: All patients underwent decompression + duraplasty procedures. The survival rate of the patients who underwent surgery and were followed for at least six months was 29%. The mean age of 18 women and 13 men patients was 65.5 years. The survival rate was 50% in patients under ≤65.
Conclusion: The mortality rate was higher than expected compared with the literature because of the wide range of indications. We observed that multiple risk factors for cerebrovascular diseases and age (above 65) resulted in a statistically significant increase in postoperative mortality. The decompressive surgery in eligible patients may reduce mortality and may provide partial functional well-being.

Key words: Stroke; Malignant MCA Infarction; Decompressive Surgery.