Craniectomía descompresiva en encefalitis herpética: Caso clínico
| Autor: | Jaime Pinto V, Sebastián Vigueras A, Raúl Bustos B |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
encefalitis
medicine.medical_specialty business.industry Sedation medicine.medical_treatment Herpes medicine.disease Temporal lobe Surgery Refractory craniectomía Anesthesia Edema Pediatrics Perinatology and Child Health Hyperventilation medicine Decompressive craniectomy medicine.symptom business niños Encephalitis Intracranial pressure |
| Zdroj: | Revista chilena de pediatría v.83 n.5 2012 SciELO Chile CONICYT Chile instacron:CONICYT |
| ISSN: | 0370-4106 |
| DOI: | 10.4067/s0370-41062012000500009 |
| Popis: | Decompressive craniectomy in herpes simplex encephalitis. Clinical case introduction: the morbidity and mortality of herpes simplex encephalitis (HSE) have decreased with the use of acyclovir. However, some patients develop focal hemorrhagic necrosis and edema in the temporal lobe, with a subsequent elevation of intracranial pressure. Clinical cases: We report the clinical outcomes of two children with HSE who developed severe intracranial hypertension and impending uncal herniation refractory to profound sedation, osmotic agents and moderate hyperventilation. Decompressive craniectomy allowed an effective control of intracranial pressure and a favorable neurological outcome at discharge in both patients. Conclusions: Decompressive craniectomy could be considered as a rescue treatment strategy in patients with life-threatening intracranial hypertension due to severe herpetic encephalitis. (Key words : Herpes, encephalitis, craniectomy, children).Rev Chil Pediatr 2012; 83 (5): 468-473 |
| Databáze: | OpenAIRE |
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