Immuno-inflammation in the Acute Phase of an Ischaemic Cerebral Accident Managed by Decompressive Hemicraniectomy: a Case-control Study

Inclusion Criteria

• •Collegial indication given by a neurologist, a neuroreanimator and a neurosurgeon for HD in the context of a malignant sylvian AIC.
• •\- For neurosurgical operations in which cranial, meningeal, vascular (branch of the middle meningeal artery) or cerebral bone tissue is not preserved during the surgical approach.
• •HD carried out in a context of acute cerebral haemorrhage
• •Pre-existing neurological disability: modified Rankin score \> 2
• •Patient benefiting from a legal protection measure
• •Patient to be operated on for an acute vascular condition: meningeal haemorrhage, subdural or extradural haemorrhage, intra parenchymal haemorrhage.
• •Patient operated on for an osteomeningeal pathology present at the approach site.
• •Patient operated on for an infectious cranial or neuro-meningeal pathology.
• •Patient to be operated on as a result of an intracranial traumatic condition