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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Management morbidity and mortality of poor-grade aneurysm patients. Drainage through a shunt system could be useful in similar situations.

Decompressive craniectomy for the treatment of refractory high intracranial pressure in traumatic brain injury. Conclusion Subdural hygromas in the posterior fossa can be symptomatic and not always resolve spontaneously.

Craniectomía descompresiva en infarto cerebral maligno

After the cerebellar infarction and the subsequent decompressive craniectomy a disruption in the CSF dynamics occurred with liquid getting out of the fourth ventricle into the subdural space and with a flap-valve effect.

Childs Nerv Syst ; Improved outcome descomprrsiva rupture of anterior circulation aneurysms: 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 descompresivz patient got worse.

The MRI showed normal ventricular size with a cerebellar hygroma, extending to the posterior interhemispheric fissure. After 15 days she came back to the hospital because a CSF fistula, and she had started craniecomia dizziness again, specially with movements, however no nistagmus, dysmetria, nor ataxia were present.

However, two of these six patients had unfavorable outcomes. Case report A 74 years old woman presented dizziness, nausea and vomiting for 24 hours and was admitted in our hospital somnolent.

Higroma infratentorial secundario a una craniectomía descompresiva tras un infarto de cerebelo

World Federation of Neurosurgical Societies. Fifteen days descompreeiva surgery, the patient started with new positional vertigo, nausea and vomiting and a wound CSF fistula that needed ventriculoperitoneal shunt medium pressure because conservative treatment failed.


Outcome evaluation of these eleven patients franiectomia conducted 1 year after the operation assessed by the Glasgow Outcome Scale.

We present our experience of a pilot study that PDC was used in patients with poorgrade aSAH with associated intracerebral hematoma.

Up to date six cases of cranidctomia subdural hygromas in adults have been reported by different authors 1,2,4,5all of them secondary to posterior fossa decompression. Entre el 1 de marzo de y el 31 de abril dese trataron pacientes con HSAa en nuestro hospital. The ABCs of measuring intracerebral hemorrhage volumes. Only a few cases have been described, none following a decompressive craniectomy.

descompresivva Report of two cases and literature review. Postoperative intracranial pressure in patients operated on for cerebral aneurysms following subarachnoid hemorrhage.

Although the shunt was working, it could not solve the hygromas. She had good evolution after decompressive craniectomy without shunting. Effects of decompressive craniectomy on brain tissue oxygen in patients with intracranial hypertension. Between March 1 stand 31 st April,patients with aneurysmatic subarachnoid hemorrhage aSAH were treated at our hospital.

The Impact Factor measures the craniecyomia number of citations received in a particular descompresivaa by papers published in the journal during the two receding years. The collection had no blood signal and caused big mass effect over posterior fossa structures with an incipient medullar deformity. This item has received. Results of a pilot study in 11 cases.

This fact, together with the impressive results of the primary decompressive craniotomy PDC in the malignant infarction of the middle cerebral artery suggests a possible beneficial effect of decompressive technique in aSAH.

Lancet Neurol ; 6: SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. There is not an easy explanation for descomprexiva fluid accumulation and the high pressure in the posterior fossa in this case.

However, there is a lack of definitive evidence to support a clear recommendation for its use. We can speculate some valve mechanism was formed.


Ocho pacientes fueron mujeres y tres hombres. After the shunt was implanted, the patient symptoms got worse slowly in weeks, with severe vertigo, nausea and vomiting associated with upright position and movements, but not when she was at bed. Decompressive hemicraniectomy for malignant hemispheric infarction. We cannot explain why the ventricular catheter did not avoid the high pressure in the posterior fossa, and why the CSF produced in the ventricles could travel forward those compartments, but not go back.

These are the options to access the full texts of the publication Medicina Intensiva English Edition. Subscribe to our Newsletter. Subscribe to Medicina Intensiva English Edition. The pathophysiology of the CSF is complex and our knowledge can not already explain every pathological situation.

Imagines in Intensive Medicine. A CT scan showed a hemispheric descompresuva infarction with important mass effect and hydrocephalus Fig. A control CT scan shows normal ventricular size and a collection where the cerebellar infarction had occurred.

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An MRI one month after showed big bilateral hygromas in the cerebellum convexity, extending to the posterior interhemispheric fissure Fig. La TC craneal realizada de urgencias revela la presencia de una hemorragia subaracnoidea asociada con un gran hematoma cuantificado en 60 cc Imagen A.

J Neurol Neurosurg Psychiatry ; The MRI and CT scan did not show any signs of blood products like a subdural chronic hematoma to explain this collection. Sin embargo, en la actualidad hay una falta de evidencia para apoyar unas recomendaciones claras para su uso. You can change the settings or obtain more information by clicking here.