Evidence map›Paper›PMID 41272352›Full record

ArticleNeurosurgical review2025

Decompressive craniectomy following malignant cerebral infarction is an independent risk factor for ventriculomegaly.

Masashi Higashino, Eiji Kurihara, Ryuichi Kuroda, Satoshi Inoue, Tae Jin Lee, Takashi Mizowaki, Masafumi Mori, Narihide Shinoda, Shogo Tamura, Naoya Takeda

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Article in Neurosurgical review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Masashi HigashinoDepartment of Neurosurgery, Junshin Hospital, Befu 865-1 Befucho, Kakogawa, 675-0122, Japan. mh926@med.kobe-u.ac.jp.
Eiji KuriharaDepartment of Neurosurgery, Junshin Hospital, Befu 865-1 Befucho, Kakogawa, 675-0122, Japan.
Ryuichi KurodaDepartment of Neurosurgery, Junshin Hospital, Befu 865-1 Befucho, Kakogawa, 675-0122, Japan.
Satoshi InoueDepartment of Neurosurgery, Junshin Hospital, Befu 865-1 Befucho, Kakogawa, 675-0122, Japan.
Tae Jin LeeDepartment of Neurosurgery, Junshin Hospital, Befu 865-1 Befucho, Kakogawa, 675-0122, Japan.
Takashi MizowakiDepartment of Neurosurgery, Junshin Hospital, Befu 865-1 Befucho, Kakogawa, 675-0122, Japan.
Masafumi MoriDepartment of Neurosurgery, Kosei Hospital, Kusakabe 1788, Doujyocho, Kita-ku, Kobe, 651-1505, Japan.
Narihide ShinodaDepartment of Neurosurgery, Kosei Hospital, Kusakabe 1788, Doujyocho, Kita-ku, Kobe, 651-1505, Japan.
Shogo TamuraDepartment of Neurosurgery, Kosei Hospital, Kusakabe 1788, Doujyocho, Kita-ku, Kobe, 651-1505, Japan.
Naoya TakedaDepartment of Neurosurgery, Junshin Hospital, Befu 865-1 Befucho, Kakogawa, 675-0122, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Decompressive craniectomy (DC) has been reported as a risk factor for communicating hydrocephalus, but no studies have directly compared DC and non-DC groups to determine the odds ratio (OR) for ventriculomegaly, particularly in malignant cerebral infarction. This study aims to calculate the OR for ventriculomegaly after DC and identify associated risk factors. Data from two primary stroke centers in Japan (2010-2024) were analyzed. Among 385 malignant ischemia cases, this study included 100 patients who underwent decompressive craniectomy (DC group), while 96 who did not (non-DC group). Propensity score matching (1:1) was performed. Data from 37 DC group and 27 non-DC group patients with imaging available at 6 months post-onset were analyzed. Measurements and comparisons were made for the Evans index, the width of the ipsilateral and contralateral lateral ventricles, and the third ventricle at the onset and 6 months post-onset. After matching, 49 cases per group were analyzed. Ventriculomegaly was significantly higher in the DC group (OR: 4.55). The DC group also showed significantly greater increases in Evans index, ipsilateral and contralateral lateral ventricle, and third ventricle ratio. Based on radiological findings, DC is an independent risk factor for ventriculomegaly. It is essential to recognize that DC increases the risk of postoperative ventriculomegaly, even in cases of cerebral infarction.

Indexed as

Cerebral InfarctionDecompressive CraniectomyHydrocephalusPostoperative ComplicationsAdultAgedFemaleHumansJapanMaleMiddle AgedRetrospective StudiesRisk FactorsCerebral infarctionDecompressive craniectomyHydrocephalusVentriculomegaly

Identifiers

PMID41272352

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.