What question did this study set out to answer?

To synthesize evidence on decompressive craniectomy outcomes and psychological effects on families.

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

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

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.

Gupta et al. (2026) studied this question.

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