Ischemic Stroke and Tissue Hypodensity on Computed Tomography

To the Editor: Clinical experience and experimental data have shown that early identification of patients with a large ischemic brain edema and subsequent hemicraniectomy can decrease mortality and morbidity.1 2 I read with great interest the article by Haring and colleagues3 and appreciate the efforts of the authors to find CT criteria that could early and reliably discriminate acute stroke patients with a malignant course and the potential benefit from craniectomy for those with a more favorable prognosis. I am afraid, however, that the authors did not really …