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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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Cerebral oxygenation following decompressive hemicraniectomy for the treatment of refractory intracranial hypertension. No hubo otras complicaciones craniectmoia la CD en los otros diez pacientes. Hospital Universitario Vall d’Hebron.

There is not an easy explanation for the fluid accumulation and the high pressure in the posterior fossa in this case. Introduction Subdural CSF collections in cerebellar convexity are very unusual and have been reported as cause of cerebellar syndromes 5. Early decompressive surgery in malignant infarction of the middle cerebral artery: Acute obstructive hydrocephalus associated with infratentorial craniectmoia hygromas complicating Chiari malformation Type I decompression.

Resultados de un estudio piloto en 11 casos. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. A control CT scan shows normal ventricular size and a collection where the cerebellar infarction had occurred. Six patients survived, and four of them with good results.

J Neurosurg ; A lumbar drainage resolved temporary the fistula, although, when the drainage was closed the fistula reopened.

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.

Resultados de un estudio piloto en 11 casos Primary decompressive craniectomy in patients with aneurysmatic subarachnoid hemorrhage. Improved outcome after rupture of anterior circulation aneurysms: International subarachnoid aneurysm trial ISAT of neurosurgical clipping versus endovascular coiling in patients with ruptured intracranial aneurysms: In the descopresiva remaining patients, PDC was performed in the same clipping and evacuation of the associated hematoma. These are the options to access the full texts of the publication Medicina Intensiva English Edition.


Neurologists and ENT made an exhaustive study and peripheral vertigo and other neurological problems were excluded. Postoperative intracranial pressure desfompresiva patients operated on for cerebral aneurysms following subarachnoid descopmresiva. T2 coronal one month after the shunting shows big bilateral hygromas over the cerebellum convexity, extending to the posterior interhemispheric fissure.

The PDC was effective in controlling intracranial pressure in all six surviving patients. The conscience level was worsening, so a decompressive posterior fossa craniectomy was made. Curr Treat Options Neurol ; Decompressive craniectomy for the treatment of refractory high intracranial pressure in traumatic brain injury. The appearance of a pathological cavity in the central nervous system after a surgery or a trauma could originate disturbances of CSF circulation.

The patient received medical treatment with steroids and acetazolamide and got better for two weeks. Report of two cases and literature review.

She was discharged in 7 days, ambulatory, without dizziness.

Descompresivq three patients PDC was performed after endovascular aneurysm treatment because of the need to evacuate an associated hematoma. Nistagmus but no dysmetria nor ataxia was present. In the control CT scan at one month after surgery the hygromas have disappeared, the patient was symptomatic.

Childs Nerv Syst ; One way communication between different cranial compartments could play a role in the dynamics of some CSF disorders, and therefore need separate draining.

October Pages ee18 Pages The patient became asymptomatic after surgery, and the hygromas had disappeared craaniectomia control CT at one month. Fifteen days after 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.

Complication of descompressive craniectomy: Entre el 1 de marzo y el 31 de abril dese trataron en nuestro hospital pacientes con HSAa.


Craniectomía descompresiva en infarto cerebral maligno

Discussion There is not an easy explanation for sescompresiva fluid accumulation and the high pressure in the posterior fossa in this case. 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 fescompresiva with a Y-shape connector. After shunting, the fistula craniectomiia, but the patient symptoms worsened.

All the CM-I cases resolved spontaneously; the authors of these reports explain the formation of the hygromas following a pinhole arachnoid tear during durotomy that formed the basis of the valve mechanism.

We present our experience of a pilot study that PDC was used in patients with poorgrade aSAH with associated intracerebral hematoma. Although the shunt was working, it could not solve the hygromas. 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.

Si continua navegando, consideramos que descompgesiva su uso. Continuing navigation will be considered as acceptance of this use. A control CT crajiectomia showed a pseudomeningocele and a collection where the cerebellar infarction had occurred with normal ventricular size Fig. The collection had no blood signal and expanded during observation. Sin embargo, nuestro estudio tiene limitaciones importantes.

CiteScore measures average citations received per document published. Results of a pilot study in 11 cases. Paseo Vall d’Hebron Imagines in Intensive Medicine. Resultados de un estudio piloto en 11 casos de F Arikan y cols.