Abstract
The clinical characteristics of space occupying hemispheric infarction might be described as severe hemispheric stroke syndrome involving the territory of the middle and/or anterior cerebral artery with hemiplegia and forced eye and head deviation on admission. This is followed by progressive deterioration of consciousness within 2–3 days [1]. The progression of symptoms is produced by brain edema within the first days, with a maximum occurring on day 3 to 5 [2]. Clinically this mass effect presents as ipsilateral pupillary dilatation [3] (19 out of 35) and death within 2 to 5 days due to increased intracranial pressure with transtentorial herniation (25 out of 35) [4]. Because of the rapid development of cerebral edema with subsequent herniation we have suggested to use the term “malignant” MCA (middle cerebral artery) infarction [1].
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Steiner, T., Aschoff, A. (1998). Surgical Management of Elevated ICP and Monitoring. In: Steiner, T., Hacke, W., Hanley, D.F. (eds) Stroke. Update in Intensive Care and Emergency Medicine, vol 27. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60264-1_13
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DOI: https://doi.org/10.1007/978-3-642-60264-1_13
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