Decompressive craniotomy: prognostic factors and complications in 89 patients
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=S0004-282X2008000300017 |
Resumo: | Decompressive craniotomy (DC) is applied to treat post-traumatic intracranial hypertension (ICH). The purpose of this study is to identify prognostic factors and complications of unilateral DC. Eighty-nine patients submited to unilateral DC were retrospectively analyzed over a period of 30 months. Qui square independent test and Fisher test were used to identify prognostic factors. The majority of patients were male (87%). Traffic accidents had occurred in 47% of the cases. 64% of the patients had suffered severe head injury, while pupillary abnormalities were already present in 34%. Brain swelling plus acute subdural hematoma were the most common tomographic findings (64%). Complications occurred in 34.8% of the patients: subdural effusions in 10 (11.2%), hydrocephalus in 7 (7.9%) and infection in 14 (15.7%). The admittance Glasgow coma scale was a statistically significant predictor of outcome ( p=0.0309). |
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Decompressive craniotomy: prognostic factors and complications in 89 patientshead injuryintracranial hypertensiondecompressive craniotomyDecompressive craniotomy (DC) is applied to treat post-traumatic intracranial hypertension (ICH). The purpose of this study is to identify prognostic factors and complications of unilateral DC. Eighty-nine patients submited to unilateral DC were retrospectively analyzed over a period of 30 months. Qui square independent test and Fisher test were used to identify prognostic factors. The majority of patients were male (87%). Traffic accidents had occurred in 47% of the cases. 64% of the patients had suffered severe head injury, while pupillary abnormalities were already present in 34%. Brain swelling plus acute subdural hematoma were the most common tomographic findings (64%). Complications occurred in 34.8% of the patients: subdural effusions in 10 (11.2%), hydrocephalus in 7 (7.9%) and infection in 14 (15.7%). The admittance Glasgow coma scale was a statistically significant predictor of outcome ( p=0.0309).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=S0004-282X2008000300017Arquivos de Neuro-Psiquiatria v.66 n.2b 2008reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/S0004-282X2008000300017info:eu-repo/semantics/openAccessFaleiro,Rodrigo MoreiraFaleiro,Luiz Carlos MendesCaetano,ElisaGomide,IsabellaPita,CristinaCoelho,GustavoBrás,EllenCarvalho,BrunaGusmão,Sebastião Nataniel Silvaeng2008-09-29T00:00:00Zoai:scielo:S0004-282X2008000300017Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2008-09-29T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Decompressive craniotomy: prognostic factors and complications in 89 patients |
title |
Decompressive craniotomy: prognostic factors and complications in 89 patients |
spellingShingle |
Decompressive craniotomy: prognostic factors and complications in 89 patients Faleiro,Rodrigo Moreira head injury intracranial hypertension decompressive craniotomy |
title_short |
Decompressive craniotomy: prognostic factors and complications in 89 patients |
title_full |
Decompressive craniotomy: prognostic factors and complications in 89 patients |
title_fullStr |
Decompressive craniotomy: prognostic factors and complications in 89 patients |
title_full_unstemmed |
Decompressive craniotomy: prognostic factors and complications in 89 patients |
title_sort |
Decompressive craniotomy: prognostic factors and complications in 89 patients |
author |
Faleiro,Rodrigo Moreira |
author_facet |
Faleiro,Rodrigo Moreira Faleiro,Luiz Carlos Mendes Caetano,Elisa Gomide,Isabella Pita,Cristina Coelho,Gustavo Brás,Ellen Carvalho,Bruna Gusmão,Sebastião Nataniel Silva |
author_role |
author |
author2 |
Faleiro,Luiz Carlos Mendes Caetano,Elisa Gomide,Isabella Pita,Cristina Coelho,Gustavo Brás,Ellen Carvalho,Bruna Gusmão,Sebastião Nataniel Silva |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Faleiro,Rodrigo Moreira Faleiro,Luiz Carlos Mendes Caetano,Elisa Gomide,Isabella Pita,Cristina Coelho,Gustavo Brás,Ellen Carvalho,Bruna Gusmão,Sebastião Nataniel Silva |
dc.subject.por.fl_str_mv |
head injury intracranial hypertension decompressive craniotomy |
topic |
head injury intracranial hypertension decompressive craniotomy |
description |
Decompressive craniotomy (DC) is applied to treat post-traumatic intracranial hypertension (ICH). The purpose of this study is to identify prognostic factors and complications of unilateral DC. Eighty-nine patients submited to unilateral DC were retrospectively analyzed over a period of 30 months. Qui square independent test and Fisher test were used to identify prognostic factors. The majority of patients were male (87%). Traffic accidents had occurred in 47% of the cases. 64% of the patients had suffered severe head injury, while pupillary abnormalities were already present in 34%. Brain swelling plus acute subdural hematoma were the most common tomographic findings (64%). Complications occurred in 34.8% of the patients: subdural effusions in 10 (11.2%), hydrocephalus in 7 (7.9%) and infection in 14 (15.7%). The admittance Glasgow coma scale was a statistically significant predictor of outcome ( p=0.0309). |
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=S0004-282X2008000300017 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2008000300017 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0004-282X2008000300017 |
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.2b 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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1754212763985510400 |