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Decompressive craniotomy for malignant middle cerebral artery infarction: The quest for an African perspective

Naidoo D

Surgical neurology international, 2021

Abstract

BACKGROUND: Although associated with controversy, decompressive craniotomy (DC) for malignant middle cerebral artery infarction (MMCAI) is an unequivocally lifesaving intervention. DC for MMCAI is rarely performed in lower- to middle-income countries.

METHODS: A systemic review was performed in attempt to determine the rates of utilization and outcomes of DC on the African continent.

RESULTS: Only two African studies describing DC for MMCAI were found.

CONCLUSION: DC for MMCAI is rarely performed and/or reported on the African continent. The African perspective for this needs to be urgently broadened.

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