Surgical Management of an Unusual Case of Malignant Middle Cerebral Artery Infarction

Jon Durrani, Mohammed Rahman, Phillip Porcelli, Keith Kattner


Decompressive craniectomy for uncontrolled elevated intracranial pressure (ICP) from various etiologies including trauma and strokes is a topic that is gaining attention from many clinicians today. Decompressive craniectomies have been performed for the last century; however, only recently randomized studies have confirmed the beneficial and meaningful neurological outcomes of craniectomies. This case report presents an unusual case of an ischemic stroke of undetermined etiology, that morphed into a malignant middle cerebral artery (MCA) infarction, causing a life-threatening massive cerebral edema requiring a rapid neurosurgical intervention in the form of a decompressive craniectomy.

J Med Cases. 2013;4(4):242-246


Decompressive craniectomy; Malignant middle cerebral artery infarction; Stroke in young people

Full Text: HTML PDF

Browse  Journals  


Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics


World Journal of Oncology

Gastroenterology Research

Journal of Hematology


Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity


Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research


Journal of Neurology Research

International Journal of Clinical Pediatrics



Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)

This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website:   editorial contact:
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.

Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.