Treating Massive Cerebral Infarction with Simple Decompression Technique—A Report on 6 Cases

Objective: To explore a more effective surgical method for the treatment of malignant cerebral edema in massive cerebral infarction. Methods: The patients with malignant cerebral edema due to exceeding the time or failure of thrombectomy and conservative treatment were selected to use sufficient internal decompression and preserve their skull. Results: All 6 patients survived and were discharged. There were no common postoperative complications such as subdural effusion. During the 9-month follow-up period, 5 of 6 patients survived. One patient was able to walk around. Conclusion: For patients with malignant cerebral edema caused by massive cerebral infarction, simple internal decompression is recommended with a high survival rate and few complications.