DHWDDecompressive Hemicraniectomy with Duraplasty (ischemic stroke treatment modality)
DHWDDating Hamster Wheel of Despair
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Size, location, presence of shift, presence of herniation on CT, early clinical herniation syndrome, time from onset of stroke and ICP are all considerations in identifying patients who could benefit from DHWD.
2004) report good outcomes in 42% and poor outcomes in 58% of patients reviewed with DHWD for MCA infarction.
One study (N = 68) that examined complications of patients who underwent DHWD found that shunt-dependent hydrocephalus, subdural fluid collection, and CSF leakage from the scalp occurred more frequently with DHWD than with "standard" craniotomy (Yang et al.