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May 6, 2026Asian Journal of Neurosurgery

Decompressive Craniectomy in Ischemic Stroke: Neurosurgical Perspectives on Patient Outcomes and Psychological Impact on Family

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Authors

KGKanav GuptaSSShivanya SinghAMAbhinav Mani

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Overview

Narrative review highlights that decompressive craniectomy reduces mortality in ischemic stroke, suggesting psychological impacts on caregivers.

Key Points

  • To synthesize evidence on decompressive craniectomy outcomes and psychological effects on families.
  • Narrative review of randomized trials, cohort studies, and meta-analyses from 1995 to 2025.
  • Focus on primary endpoints including survival, modified Rankin Scale distribution, and caregiver psychological burden.
  • Early decompressive craniectomy reduces mortality by 41 to 50% compared to medical therapy alone.
  • 27 to 40% of patients experience severe disability despite survival gains.
  • Up to 75% of caregivers report significant anxiety or depression, and a notable percentage develop posttraumatic stress symptoms.

Cite This Study

Gupta et al. (2026) studied this question.

synapsesocial.com/papers/69fa983604f884e66b531f9chttps://doi.org/10.1055/s-0046-1820439
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