Improvement in neurological outcome and brain hemodynamics after late cranioplasty
| Autor: | Corrado Iaccarino, Manoel Jacobsen Teixeira, Edson Bor-Seng-Shu, Almir Ferreira de Andrade, Wellingson Silva Paiva, Sérgio Brasil, Robson Luis Oliveira de Amorim, Gabriel Scarabôtolo Gattás, Fernando Mendes Paschoal Junior, Arthur Maynart Pereira Oliveira |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Decompressive Craniectomy
medicine.medical_specialty medicine.medical_treatment Hemodynamics Perfusion scanning Decompressive craniectomy Cranioplasty Cerebral blood flow Perfusion imaging Transcranial Doppler sonography Internal medicine medicine.artery medicine Humans Prospective Studies Cerebral perfusion pressure business.industry Skull Brain Plastic Surgery Procedures Transcranial Doppler Treatment Outcome Cerebrovascular Circulation Middle cerebral artery Cardiology Surgery Neurology (clinical) business |
| Popis: | Early cranioplasty has been encouraged after decompressive craniectomy (DC), aiming to reduce consequences of atmospheric pressure over the opened skull. However, this practice may not be often available in low-middle-income countries (LMICs). We evaluated clinical improvement, hemodynamic changes in each hemisphere, and the hemodynamic balance between hemispheres after late cranioplasty in a LMIC, as the institution’s routine resources allowed. Prospective cohort study included patients with bone defects after DC evaluated with perfusion tomography (PCT) and transcranial Doppler (TCD) and performed neurological examinations with prognostic scales (mRS, MMSE, and Barthel Index) before and 6 months after surgery. A final sample of 26 patients was analyzed. Satisfactory improvement of neurological outcome was observed, as well as significant improvement in the mRS (p = 0.005), MMSE (p |
| Databáze: | OpenAIRE |
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