Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Tazbir Janice; Marthaler, Maureen T.; Moredich, Cheryl; Keresztes, Patricia
Journal of Neuroscience Nursing: August 2005
Decompressive Hemicraniectomy with Duraplasty: A Treatment for Large-Volume Ischemic Stroke: PDF Only
Buy

Abstract:

Increased intracranial pressure (ICP) is a cause of death and disability in neurological patients. Patients experiencing malignant stroke of the middle cerebral artery (MCA) have a high mortality related to cerebral edema, increased ICP, and subsequent cerebral herniation. Decompressive hemicraniectomy with duraplasty is a surgical option for those experiencing large volume MCA stroke. When decompressive hemicraniectomy with duraplasty is performed, functional outcomes improve if the MCA stroke candidate is younger, the onset of increased ICP occurred less than 24 hours before surgery, and surgery is performed before clinical signs of herniation syndrome occur. The level of care required for these patients makes nursing care challenging.

Questions or comments about this article may be directed to Janice Tazbir, MS RN CS CCRN, 2200 West 169th Street, Hammond, IN 46323, or by e-mail to tazbir@calumet.purdue.edu. She is an associate professor of Nursing at Purdue University Calumet in Hammond, IN.

Maureen T. Marthaler, MS RN, is an assistant professor of nursing at Purdue University Calumet in Hammond, IN.

Cheryl Moredich, MS RNC WHNP, is an assistant professor of nursing at Purdue University Calumet in Hammond, IN.

Patricia Keresztes, PhD RN CCRN, is an assistant professor of nursing at Purdue University Calumet in Hammond, IN.

© 2005 American Association of Neuroscience Nurses