Use of decompressive craniectomy in the treatment of hemispheric infarction

Detalhes bibliográficos
Autor(a) principal: Fiorot Jr., José Antonio [UNIFESP]
Data de Publicação: 2008
Outros Autores: Silva, Gisele Sampaio [UNIFESP], Cavalheiro, Sergio [UNIFESP], Massaro, Ayrton Roberto [UNIFESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/S0004-282X2008000200012
http://repositorio.unifesp.br/handle/11600/4399
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 infarctionUso da craniectomia descompressiva no tratamento do acidente vascular cerebral isquêmico hemisféricocraniectomydecompressive surgerymiddle cerebral artery infarctioncraniectomiadescompressão cirúrgicainfarto da artéria cerebral médiaDecompressive 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.Craniectomia descompressiva (CD) tem demonstrado eficácia em reduzir a mortalidade em pacientes com infarto hemisférico (IH) da artéria cerebral média. Este estudo avaliou o prognóstico dos pacientes submetidos a CD comparando a pacientes com IH tratados de maneira conservadora. Dezoito pacientes foram submetidos a CD e 14 receberam tratamento conservador. Escala de Coma de Glasgow e Escala de AVC do National Institutes of Health foram utilizadas para graduar o déficit neurológico. A mortalidade, bem como os escores obtidos na escala modificada de Rankin e índice de Barthel foram avaliados em 90 dias. Não foi observada redução de mortalidade nos pacientes submetidos a CD. Essa diferença entre os nossos resultados e os estudos publicados previamente se deve, provavelmente, à decisão cirúrgica tardia em pacientes com sinais clínicos de herniação cerebral.Universidade Federal de São Paulo (UNIFESP) Department of Neurology and NeurosurgeryCentro de Medicina Diagnóstica FleuryUNIFESP, Department of Neurology and NeurosurgerySciELOAcademia Brasileira de Neurologia - ABNEUROUniversidade Federal de São Paulo (UNIFESP)Centro de Medicina Diagnóstica FleuryFiorot Jr., José Antonio [UNIFESP]Silva, Gisele Sampaio [UNIFESP]Cavalheiro, Sergio [UNIFESP]Massaro, Ayrton Roberto [UNIFESP]2015-06-14T13:38:34Z2015-06-14T13:38:34Z2008-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion204-208application/pdfhttp://dx.doi.org/10.1590/S0004-282X2008000200012Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 66, n. 2a, p. 204-208, 2008.10.1590/S0004-282X2008000200012S0004-282X2008000200012.pdf0004-282XS0004-282X2008000200012http://repositorio.unifesp.br/handle/11600/4399engArquivos de Neuro-Psiquiatriainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-04T20:17:12Zoai:repositorio.unifesp.br/:11600/4399Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-04T20:17:12Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Use of decompressive craniectomy in the treatment of hemispheric infarction
Uso da craniectomia descompressiva no tratamento do acidente vascular cerebral isquêmico hemisférico
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 [UNIFESP]
craniectomy
decompressive surgery
middle cerebral artery infarction
craniectomia
descompressão cirúrgica
infarto da artéria cerebral média
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 [UNIFESP]
author_facet Fiorot Jr., José Antonio [UNIFESP]
Silva, Gisele Sampaio [UNIFESP]
Cavalheiro, Sergio [UNIFESP]
Massaro, Ayrton Roberto [UNIFESP]
author_role author
author2 Silva, Gisele Sampaio [UNIFESP]
Cavalheiro, Sergio [UNIFESP]
Massaro, Ayrton Roberto [UNIFESP]
author2_role author
author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
Centro de Medicina Diagnóstica Fleury
dc.contributor.author.fl_str_mv Fiorot Jr., José Antonio [UNIFESP]
Silva, Gisele Sampaio [UNIFESP]
Cavalheiro, Sergio [UNIFESP]
Massaro, Ayrton Roberto [UNIFESP]
dc.subject.por.fl_str_mv craniectomy
decompressive surgery
middle cerebral artery infarction
craniectomia
descompressão cirúrgica
infarto da artéria cerebral média
topic craniectomy
decompressive surgery
middle cerebral artery infarction
craniectomia
descompressão cirúrgica
infarto da artéria cerebral média
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
2015-06-14T13:38:34Z
2015-06-14T13:38:34Z
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://dx.doi.org/10.1590/S0004-282X2008000200012
Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 66, n. 2a, p. 204-208, 2008.
10.1590/S0004-282X2008000200012
S0004-282X2008000200012.pdf
0004-282X
S0004-282X2008000200012
http://repositorio.unifesp.br/handle/11600/4399
url http://dx.doi.org/10.1590/S0004-282X2008000200012
http://repositorio.unifesp.br/handle/11600/4399
identifier_str_mv Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 66, n. 2a, p. 204-208, 2008.
10.1590/S0004-282X2008000200012
S0004-282X2008000200012.pdf
0004-282X
S0004-282X2008000200012
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Arquivos de Neuro-Psiquiatria
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 204-208
application/pdf
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 reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
_version_ 1814268290378235904

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