Use of decompressive craniectomy in the treatment of hemispheric infarction
Autor(a) principal: | |
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Data de Publicação: | 2008 |
Outros Autores: | , , |
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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Arquivos de neuro-psiquiatria (Online) |
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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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1754212763738046464 |