Decompressive craniectomy in massive cerebral infarction
Autor(a) principal: | |
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Data de Publicação: | 2010 |
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=S0004-282X2010000300002 |
Resumo: | Twenty one patients were submitted to decompressive craniectomy for massive cerebral infarct. Ten patients (47.6%) presented a good outcome at the 6 months evaluation, eight had a poor outcome (38%) and three died (14.2%). There was no outcome statistical difference between surgery before and after 24 hours of ictus, dominant and non-dominant stroke groups. Patients older than 60 years and those who had a Glasgow Coma Scale (GCS)<8 in the pre-surgical exam presented worst outcome at six months (p<0.05). Decompressive craniectomy for space-occupying large hemispheric infarction increases the probability of survival. Age lower than 60 years, GCS >8 at pre-surgical exam and decompressive craniectomy before signs of brain herniation represent the main factors related to a better outcome. Dominant hemispheric infarction does not represent exclusion criteria. |
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Decompressive craniectomy in massive cerebral infarctioncerebral infarctiondecompressive hemicraniectomysurgical decompressionTwenty one patients were submitted to decompressive craniectomy for massive cerebral infarct. Ten patients (47.6%) presented a good outcome at the 6 months evaluation, eight had a poor outcome (38%) and three died (14.2%). There was no outcome statistical difference between surgery before and after 24 hours of ictus, dominant and non-dominant stroke groups. Patients older than 60 years and those who had a Glasgow Coma Scale (GCS)<8 in the pre-surgical exam presented worst outcome at six months (p<0.05). Decompressive craniectomy for space-occupying large hemispheric infarction increases the probability of survival. Age lower than 60 years, GCS >8 at pre-surgical exam and decompressive craniectomy before signs of brain herniation represent the main factors related to a better outcome. Dominant hemispheric infarction does not represent exclusion criteria.Academia Brasileira de Neurologia - ABNEURO2010-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000300002Arquivos de Neuro-Psiquiatria v.68 n.3 2010reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/S0004-282X2010000300002info:eu-repo/semantics/openAccessMattos,João PauloJoaquim,Andrei FernandesAlmeida,João Paulo Cavalcante deAlbuquerque,Lucas Alverne Freitas deSilva,Élton Gomes daMarenco,Horácio ArmandoOliveira,Evandro deeng2010-06-24T00:00:00Zoai:scielo:S0004-282X2010000300002Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2010-06-24T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Decompressive craniectomy in massive cerebral infarction |
title |
Decompressive craniectomy in massive cerebral infarction |
spellingShingle |
Decompressive craniectomy in massive cerebral infarction Mattos,João Paulo cerebral infarction decompressive hemicraniectomy surgical decompression |
title_short |
Decompressive craniectomy in massive cerebral infarction |
title_full |
Decompressive craniectomy in massive cerebral infarction |
title_fullStr |
Decompressive craniectomy in massive cerebral infarction |
title_full_unstemmed |
Decompressive craniectomy in massive cerebral infarction |
title_sort |
Decompressive craniectomy in massive cerebral infarction |
author |
Mattos,João Paulo |
author_facet |
Mattos,João Paulo Joaquim,Andrei Fernandes Almeida,João Paulo Cavalcante de Albuquerque,Lucas Alverne Freitas de Silva,Élton Gomes da Marenco,Horácio Armando Oliveira,Evandro de |
author_role |
author |
author2 |
Joaquim,Andrei Fernandes Almeida,João Paulo Cavalcante de Albuquerque,Lucas Alverne Freitas de Silva,Élton Gomes da Marenco,Horácio Armando Oliveira,Evandro de |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Mattos,João Paulo Joaquim,Andrei Fernandes Almeida,João Paulo Cavalcante de Albuquerque,Lucas Alverne Freitas de Silva,Élton Gomes da Marenco,Horácio Armando Oliveira,Evandro de |
dc.subject.por.fl_str_mv |
cerebral infarction decompressive hemicraniectomy surgical decompression |
topic |
cerebral infarction decompressive hemicraniectomy surgical decompression |
description |
Twenty one patients were submitted to decompressive craniectomy for massive cerebral infarct. Ten patients (47.6%) presented a good outcome at the 6 months evaluation, eight had a poor outcome (38%) and three died (14.2%). There was no outcome statistical difference between surgery before and after 24 hours of ictus, dominant and non-dominant stroke groups. Patients older than 60 years and those who had a Glasgow Coma Scale (GCS)<8 in the pre-surgical exam presented worst outcome at six months (p<0.05). Decompressive craniectomy for space-occupying large hemispheric infarction increases the probability of survival. Age lower than 60 years, GCS >8 at pre-surgical exam and decompressive craniectomy before signs of brain herniation represent the main factors related to a better outcome. Dominant hemispheric infarction does not represent exclusion criteria. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-06-01 |
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=S0004-282X2010000300002 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000300002 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0004-282X2010000300002 |
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.68 n.3 2010 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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1754212768469221376 |