Use of decompressive craniectomy in the treatment of hemispheric infarction

Detalhes bibliográficos
Autor(a) principal: Fiorot Jr.,José Antonio
Data de Publicação: 2008
Outros Autores: Silva,Gisele Sampaio, Cavalheiro,Sergio, Massaro,Ayrton Roberto
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos de neuro-psiquiatria (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2008000200012
Resumo: 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.
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spelling Use of decompressive craniectomy in the treatment of hemispheric infarctioncraniectomydecompressive surgerymiddle cerebral artery infarctionDecompressive 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.Academia Brasileira de Neurologia - ABNEURO2008-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2008000200012Arquivos de Neuro-Psiquiatria v.66 n.2a 2008reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/S0004-282X2008000200012info:eu-repo/semantics/openAccessFiorot Jr.,José AntonioSilva,Gisele SampaioCavalheiro,SergioMassaro,Ayrton Robertoeng2008-06-02T00:00:00Zoai:scielo:S0004-282X2008000200012Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2008-06-02T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse
dc.title.none.fl_str_mv Use of decompressive craniectomy in the treatment of hemispheric infarction
title Use of decompressive craniectomy in the treatment of hemispheric infarction
spellingShingle Use of decompressive craniectomy in the treatment of hemispheric infarction
Fiorot Jr.,José Antonio
craniectomy
decompressive surgery
middle cerebral artery infarction
title_short Use of decompressive craniectomy in the treatment of hemispheric infarction
title_full Use of decompressive craniectomy in the treatment of hemispheric infarction
title_fullStr Use of decompressive craniectomy in the treatment of hemispheric infarction
title_full_unstemmed Use of decompressive craniectomy in the treatment of hemispheric infarction
title_sort Use of decompressive craniectomy in the treatment of hemispheric infarction
author Fiorot Jr.,José Antonio
author_facet Fiorot Jr.,José Antonio
Silva,Gisele Sampaio
Cavalheiro,Sergio
Massaro,Ayrton Roberto
author_role author
author2 Silva,Gisele Sampaio
Cavalheiro,Sergio
Massaro,Ayrton Roberto
author2_role author
author
author
dc.contributor.author.fl_str_mv Fiorot Jr.,José Antonio
Silva,Gisele Sampaio
Cavalheiro,Sergio
Massaro,Ayrton Roberto
dc.subject.por.fl_str_mv craniectomy
decompressive surgery
middle cerebral artery infarction
topic craniectomy
decompressive surgery
middle cerebral artery infarction
description 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.
publishDate 2008
dc.date.none.fl_str_mv 2008-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2008000200012
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2008000200012
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0004-282X2008000200012
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
dc.source.none.fl_str_mv Arquivos de Neuro-Psiquiatria v.66 n.2a 2008
reponame:Arquivos de neuro-psiquiatria (Online)
instname:Academia Brasileira de Neurologia
instacron:ABNEURO
instname_str Academia Brasileira de Neurologia
instacron_str ABNEURO
institution ABNEURO
reponame_str Arquivos de neuro-psiquiatria (Online)
collection Arquivos de neuro-psiquiatria (Online)
repository.name.fl_str_mv Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia
repository.mail.fl_str_mv ||revista.arquivos@abneuro.org
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