Fig 1.
Multimodal stroke imaging from a patient with endovascular therapy and decompressive hemicraniectomy CT-slices are shown in insular (left), ganglionic (middle) and supraganglionic levels from left to right.
(a) ncCT on baseline presentation with an ASPECTS of 5, a symptom-to-CT time of 118 min and a baseline NIHSS of 12. (b) Cerebral blood volume on baseline with an ASPECTS of 3. (c) DSA before EVT with mTICI 0 and (d) after EVT with successful recanalization. (e) follow up ncCT with temporal edematous swelling compressing the right anterior horn of the lateral ventricle. (f) ncCT after DH with infarct demarcation of the territorial infarction of the medial cerebral artery circulation. ncCT: non-contrast cranial computed tomography; ASPECTS: Alberta Stroke Program Early CT score; NIHSS: National Institute of Health Stroke Scale; DSA: digital subtraction angiography; EVT: endovascular therapy; mTICI: modified thrombolysis in cerebral infarction score.
Table 1.
Baseline characteristics of patients with- and without hemicraniectomy
Table 2.
ncCT-, CBV-ASPECTS and collateral score in patients with- and without hemicraniectomy
Table 3.
Logistic regression models including imaging-based stroke scores for the risk stratification for decompressive hemicraniectomy after acute major ischemic stroke
Table 4.
Predictive value of imaging parameters for hemicraniectomy