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'Malignant' Middle Cerebral Artery Territory Infarction

Archives of Neurology · 1996 · Vol. 53(4) · pp. 309–309

Werner Hacke✉(Heidelberg University)

Abstract

The prognosis of complete middle cerebral artery territory stroke is very poor and can be estimated by early clinical and neuroradiological data within the first few hours after the onset of symptoms. A space-occupying mass effect develops rapidly and predictably over the initial 5 days after presentation. Herniation occurred as an end point in 43 (78%) of these patients.

Acute Ischemic Stroke Management Traumatic Brain Injury and Neurovascular Disturbances Cerebrovascular and Carotid Artery DiseasesMedicineMiddle cerebral arteryGlasgow Coma ScaleInfarctionStroke (engine)Cerebral infarctionMidline shiftInternal carotid arteryCardiologyRadiology

MeSH terms

AdultAgedCerebral AngiographyCerebral InfarctionFemaleHumansMaleMiddle AgedMonitoring, PhysiologicPrognosisSeverity of Illness IndexTomography, X-Ray ComputedCerebrospinal Fluid PressureGlasgow Coma ScaleUltrasonography, Doppler

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Guidelines for the Early Management of Patients With Acute Ischemic Stroke