Case Report
Continues Mannitol Infusion Might Provide Effectiveness in Patient with Malignant MCA
Received Date: January 25, 2019; Published Date: March 01, 2019
Abstract
There are little data regarding the efficacy of decompressive craniotomy outside 48 h or in older patients. In the older patients with no clear indication for decompressive craniotomy proper administration antioedematous medical treatment in Neurovascular Intensive Unit might result lifesaving. Using continues infusion of Mannitol and continuously monitoring of volume and heart function, electrolyte balance with rapid management of hypernatraemia and hypokalaemia. renal follow up diuresis and clearance. glucose, and a follow up of osmolarity not to exceed 320 mOsm litre.
Abbreviations: Acute stroke; Malignant sylvian stroke; Decompressive craniectomy; Mannitol
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