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01-02-2015 | Review Article

Evidence-Based Guidelines for the Management of Large Hemispheric Infarction

A Statement for Health Care Professionals from the Neurocritical Care Society and the German Society for Neuro-Intensive Care and Emergency Medicine

Authors: Michel T. Torbey, Julian Bösel, Denise H. Rhoney, Fred Rincon, Dimitre Staykov, Arun P. Amar, Panayiotis N. Varelas, Eric Jüttler, DaiWai Olson, Hagen B. Huttner, Klaus Zweckberger, Kevin N. Sheth, Christian Dohmen, Ansgar M. Brambrink, Stephan A. Mayer, Osama O. Zaidat, Werner Hacke, Stefan Schwab

Published in: Neurocritical Care | Issue 1/2015

Abstract

Large hemispheric infarction (LHI), also known as malignant middle cerebral infarction, is a devastating disease associated with significant disability and mortality. Clinicians and family members are often faced with a paucity of high quality clinical data as they attempt to determine the most appropriate course of treatment for patients with LHI, and current stroke guidelines do not provide a detailed approach regarding the day-to-day management of these complicated patients. To address this need, the Neurocritical Care Society organized an international multidisciplinary consensus conference on the critical care management of LHI. Experts from neurocritical care, neurosurgery, neurology, interventional neuroradiology, and neuroanesthesiology from Europe and North America were recruited based on their publications and expertise. The panel devised a series of clinical questions related to LHI, and assessed the quality of data related to these questions using the Grading of Recommendation Assessment, Development and Evaluation guideline system. They then developed recommendations (denoted as strong or weak) based on the quality of the evidence, as well as the balance of benefits and harms of the studied interventions, the values and preferences of patients, and resource considerations.

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Title: Evidence-Based Guidelines for the Management of Large Hemispheric Infarction
A Statement for Health Care Professionals from the Neurocritical Care Society and the German Society for Neuro-Intensive Care and Emergency Medicine
Authors: Michel T. Torbey
Julian Bösel
Denise H. Rhoney
Fred Rincon
Dimitre Staykov
Arun P. Amar
Panayiotis N. Varelas
Eric Jüttler
DaiWai Olson
Hagen B. Huttner
Klaus Zweckberger
Kevin N. Sheth
Christian Dohmen
Ansgar M. Brambrink
Stephan A. Mayer
Osama O. Zaidat
Werner Hacke
Stefan Schwab
Publication date: 01-02-2015
Publisher: Springer US
Published in: Neurocritical Care / Issue 1/2015
Print ISSN: 1541-6933
Electronic ISSN: 1556-0961
DOI: https://doi.org/10.1007/s12028-014-0085-6

ACC 2024 Congress

Springer Medicine

Evidence-Based Guidelines for the Management of Large Hemispheric Infarction

A Statement for Health Care Professionals from the Neurocritical Care Society and the German Society for Neuro-Intensive Care and Emergency Medicine

Abstract

ACC 2024 Congress

Springer Medicine

Abstract

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