Boesell, J., Schoenenberger, S., Dohmen, C., Juettler, E., Staykov, D., Zweckberger, K., Hacke, W., Schwab, S., Torbey, M. T. and Huttner, H. B. (2015). Intensive care therapy of space-occupying large hemispheric infarction. Nervenarzt, 86 (8). S. 1018 - 1029. NEW YORK: SPRINGER. ISSN 1433-0407

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Abstract

Large hemispheric infarction (LHI), synonymously called malignant middle cerebral artery (MCA) infarction, is a severe neurological disease with a high mortality and morbidity. Treating physicians as well as relatives are often faced with few and low quality data when attempting to apply optimal treatment to these patients and make decisions. While current stroke treatment guidelines focus on risk factors, prevention and acute management, they include only limited recommendations concerning intensive care management of LHI. The Neurocritical Care Society (NCS) and the German Society for Neurocritical and Emergency Medicine (DGNI) organized an interdisciplinary consensus conference on intensive care management of LHI to meet this demand. European and American experts in neurology, neurocritical care, neurosurgery, neuroradiology and neuroanesthesiology were selected based on their expertise and research focus. Subgroups for several main topics elaborated a number of central clinical questions concerning this topic and evaluated the quality of the currently available data according to the grading of recommendation assessment, development and evaluation (GRADE) guideline system. Subsequently, evidence-based recommendations were compiled after weighing the advantages against the disadvantages of certain management options. This is a commented abridged version of the results of the consensus conference.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Boesell, J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schoenenberger, S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dohmen, C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Juettler, E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Staykov, D.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zweckberger, K.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hacke, W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schwab, S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Torbey, M. T.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Huttner, H. B.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-397458
DOI: 10.1007/s00115-015-4361-2
Journal or Publication Title: Nervenarzt
Volume: 86
Number: 8
Page Range: S. 1018 - 1029
Date: 2015
Publisher: SPRINGER
Place of Publication: NEW YORK
ISSN: 1433-0407
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
MIDDLE-CEREBRAL-ARTERY; ASSOCIATION/AMERICAN STROKE ASSOCIATION; ACUTE ISCHEMIC-STROKE; DECOMPRESSIVE SURGERY; MALIGNANT INFARCTION; INTRACEREBRAL HEMORRHAGE; CONTROLLED-TRIAL; CLINICAL-TRIAL; MANAGEMENT; HEMICRANIECTOMYMultiple languages
Clinical Neurology; PsychiatryMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/39745

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