Hemicraniectomy is superior to moderate hypothermia for the treatment of patients with severe ischemic stroke, according to a report in the June issue of Stroke. Over an 18-month period, Dr. Dimitrios Georgiadis, of the University of Zurich, in Switzerland, and colleagues compared the clinical outcome of severe ischemic stroke in 17 patients who underwent hemicraniectomy and 19 treated with moderate hypothermia.
The patients underwent hemicraniectomy if the nondominant hemisphere was affected and received moderate hypothermia therapy if the dominant hemisphere was affected. “Age, sex, cranial CT findings, level of consciousness, and time to treatment were similar between the two groups,” the team notes.
“Significant differences were noted in National Institute of Health Stroke Scale (NIHSS) score (20 and 17 for moderate hypothermia and hemicraniectomy, respectively) but were not present when NIHSS score was corrected for aphasia (17 and 17 for moderate hypothermia and hemicraniectomy, respectively),” they write.
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