Craniectomía descompresiva en el manejo del traumatismo cráneo–encefálico grave en pediatría. Ángel J. Lacerda Gallardo1, Daisy Abreu. Request PDF on ResearchGate | Craniectomía descompresiva en ictus isquémico maligno de arteria cerebral media | Introduction Medically managed. Complicación tras craniectomía descompresiva: el «síndrome del paciente trepanado» de aparición precoz. Visits. Download PDF. B. Balandin Moreno.

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Craniectomía descompresiva en infarto cerebral maligno

Although the shunt was working, it could not solve the hygromas. Desxompresiva massive cerebral fat embolism secondary to severe polytrauma. The collection had no blood signal and expanded during observation.

No hubo otras complicaciones de la CD en los otros diez pacientes. The CT scan shows a hemispheric cerebellar infarction with important mass effect and hydrocephalus. World Federation of Neurosurgical Societies. Subdural CSF collections in cerebellar convexity are very unusual and have been reported as cause of cerebellar syndromes 5. Casefatality rates and functional outcome after subarachnoid hemorrhage: This technique had been published before with the same good craniectmoia 3.

Descompreziva Nerv Syst ; Sin embargo, dos de estos seis pacientes tuvieron un resultado desfavorable.

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Case report A 74 years old woman presented dizziness, nausea and vomiting for 24 hours and was admitted in our hospital somnolent. Predicting outcome in poor-grade patients with subarachnoid hemorrhage: Neurologists and ENT made an exhaustive study and peripheral vertigo and other neurological problems were excluded. In three patients PDC was performed after endovascular aneurysm treatment because of the need to evacuate an associated hematoma. Of the five who didn’t survive, one patient died from a delayed epidural-subgaleal hematoma as a complication of the decompressive technique, and the other four patients died because of refractory intracranial hypertension.


Assessment of outcome after severe brain damage. Subdural hygromas in the posterior fossa can be symptomatic and not always resolve spontaneously. Improved outcome after rupture of anterior circulation aneurysms: Because the presence of some mechanical valve system, the fluid accumulated in the subdural space instead of going back.

The symptoms disappeared quickly with the drainage of the fluid collection, which confirms that in this case, the mass effect and the clinical worsening was due to craniectomiq hygromas in the posterior cranial fossa. However, there is a lack of definitive evidence to support a clear recommendation for its use.

The clinical timing suggest the fluid was leaking from the arachnoid causing the fistula first, after the fistula closed, the CSF followed the subdural plane, the pressure increased and the patient got worse.

From Monday to Friday from 9 a. Outcome evaluation of these eleven patients was conducted 1 year after the operation assessed by the Glasgow Outcome Scale. This fact, together with the impressive results of the primary decompressive craniotomy PDC in craaniectomia malignant infarction of the middle cerebral artery suggests a possible beneficial effect of descompreslva technique in aSAH.


There is not an easy explanation for the fluid accumulation and the high pressure in the posterior fossa in this case.

Drainage through a shunt system could be useful in similar situations. Only a few cases have been described, none following a decompressive craniectomy.

She recovered, and did not need a shunt in that craniiectomia. The patient became asymptomatic after surgery, and the hygromas had disappeared in control CT at one month.

A control CT scan shows normal ventricular size and a collection where the cerebellar infarction had occurred. Report of two cases and literature review. Resultados de un estudio piloto en 11 casos de F Arikan y cols. Sin embargo, nuestro estudio tiene limitaciones importantes. After the improvement, she started worsening again, and a ventricular catheter was implanted in the biggest hygroma of posterior cranial fossa and connected to the shunt with a Y-shape connector. This mechanical valve system could be formed between the injured parenchyma and the dura mater.