Decompressive craniectomy in massive cerebral infarction Craniectomia descompressiva no infarto cerebral extenso

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...

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Bibliographic Details
Published in:Arquivos de neuro-psiquiatria 2010-06, Vol.68 (3), p.339-345
Main Authors: João Paulo Mattos, Andrei Fernandes Joaquim, João Paulo Cavalcante de Almeida, Lucas Alverne Freitas de Albuquerque, Élton Gomes da Silva, Horácio Armando Marenco, Evandro de Oliveira
Format: Article
Language:English
Subjects:
cerebral infarction
decompressive hemicraniectomy
descompressão cirúrgica
hemicraniectomia descompressiva
infarto cerebral
surgical decompression
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Summary: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)
ISSN:0004-282X
1678-4227
DOI:10.1590/S0004-282X2010000300002