Use of decompressive craniectomy in the treatment of hemispheric infarction
| Autor: | Gisele Sampaio Silva, Sergio Cavalheiro, Ayrton Roberto Massaro, Jose Antonio Fiorot |
|---|---|
| Přispěvatelé: | Universidade Federal de São Paulo (UNIFESP), Centro de Medicina Diagnóstica Fleury |
| Rok vydání: | 2008 |
| Předmět: |
Adult
middle cerebral artery infarction medicine.medical_specialty Adolescent Barthel index medicine.medical_treatment Infarction Modified Rankin Scale craniectomy medicine.artery medicine Humans Glasgow Coma Scale In patient Aged Retrospective Studies infarto da artéria cerebral média Stroke scale craniectomia Infarction Middle Cerebral Artery Middle Aged Decompression Surgical Prognosis medicine.disease Survival Analysis Surgery Treatment Outcome Neurology descompressão cirúrgica Middle cerebral artery Decompressive craniectomy Neurology (clinical) Psychology Craniotomy decompressive surgery Follow-Up Studies |
| Zdroj: | Repositório Institucional da UNIFESP Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP Arquivos de Neuro-Psiquiatria v.66 n.2a 2008 Arquivos de neuro-psiquiatria Academia Brasileira de Neurologia instacron:ABNEURO Arquivos de Neuro-Psiquiatria, Volume: 66, Issue: 2a, Pages: 204-208, Published: JUN 2008 |
| ISSN: | 0004-282X |
| DOI: | 10.1590/s0004-282x2008000200012 |
| Popis: | Craniectomia descompressiva (CD) tem demonstrado eficácia em reduzir a mortalidade em pacientes com infarto hemisférico (IH) da artéria cerebral média. Este estudo avaliou o prognóstico dos pacientes submetidos a CD comparando a pacientes com IH tratados de maneira conservadora. Dezoito pacientes foram submetidos a CD e 14 receberam tratamento conservador. Escala de Coma de Glasgow e Escala de AVC do National Institutes of Health foram utilizadas para graduar o déficit neurológico. A mortalidade, bem como os escores obtidos na escala modificada de Rankin e índice de Barthel foram avaliados em 90 dias. Não foi observada redução de mortalidade nos pacientes submetidos a CD. Essa diferença entre os nossos resultados e os estudos publicados previamente se deve, provavelmente, à decisão cirúrgica tardia em pacientes com sinais clínicos de herniação cerebral. Decompressive craniectomy (DC) has demonstrated efficacy in reducing mortality in hemispheric infarction of the middle cerebral artery. The aim of our study was to compare the outcome of patients submitted to DC to patients treated in a conservative way. Eighteen patients were submitted to DC and 14 received conservative treatment. Neurological status was assessed by the Glasgow Coma Score and National Institutes of Health Stroke Scale score. Mortality, modified Rankin Scale and Barthel Index scores were assessed at 90 days to evaluate outcome. We did not observe reduction in overall mortality and functional outcome in patients submitted to DC. The differences between our group and previously published series are probably related to the neurological status of the patients at the time of therapeutic decision. Universidade Federal de São Paulo (UNIFESP) Department of Neurology and Neurosurgery Centro de Medicina Diagnóstica Fleury UNIFESP, Department of Neurology and Neurosurgery SciELO |
| Databáze: | OpenAIRE |
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