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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Main Authors: Ricardo Barrientos (Author), Carlos Sisniega (Author), Samanta Catueno (Author), Robin Hougen (Author), Ashley Hanna (Author), Utpal Bhalala (Author)
Format: Book
Published: Hindawi Limited, 2022-01-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Ricardo Barrientos  |e author 
700 1 0 |a Carlos Sisniega  |e author 
700 1 0 |a Samanta Catueno  |e author 
700 1 0 |a Robin Hougen  |e author 
700 1 0 |a Ashley Hanna  |e author 
700 1 0 |a Utpal Bhalala  |e author 
245 0 0 |a Decompressive Hemicraniectomy and Favorable Outcome in a Pediatric Patient with Malignant Middle Cerebral Artery Infarction 
260 |b Hindawi Limited,   |c 2022-01-01T00:00:00Z. 
500 |a 2090-6811 
500 |a 10.1155/2022/6500488 
520 |a 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. 
546 |a EN 
690 |a Pediatrics 
690 |a RJ1-570 
655 7 |a article  |2 local 
786 0 |n Case Reports in Pediatrics, Vol 2022 (2022) 
787 0 |n http://dx.doi.org/10.1155/2022/6500488 
787 0 |n https://doaj.org/toc/2090-6811 
856 4 1 |u https://doaj.org/article/c0caa3a9ee0c486b85d3f93d0cd3361a  |z Connect to this object online.