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Academia Mexicana de Neurología, A.C.

2007, Número 6

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Rev Mex Neuroci 2007; 8 (6)


Tratamiento quirúrgico urgente de aneurismas de la arteria cerebral media asociados a hematomas intracerebrales

Gelabert GM, García AA

Idioma: Español
Referencias bibliográficas: 31
Paginas: 544-549
Archivo PDF: 117.01 Kb.


RESUMEN

Antecedentes: Los pacientes con hematomas intracraneales secundarios a la ruptura de una aneurisma necesitan de un tratamiento urgente con evacuación del hematoma y clipaje del aneurisma. Pacientes: Realizamos un estudio descriptivo retrospectivo sobre el tratamiento quirúrgico y evolución de un grupo de 24 pacientes con hematoma intracerebral ocasionados por la ruptura de un aneurisma de la arteria cerebral media. Resultados: Todos los pacientes al ingreso tenían una puntuación entre 3 y 5 en la escala de la Federación Mundial de Sociedades Neuroquirúrgicas (WFNS). En 15 casos el hematoma era de localización temporal y en nueve casos era silviano. El resultado final fue peor en los pacientes que debutaron con mayor deterioro neurológico, anisocoria, hematomas mayores de 50 cm3 de volumen y los que cursaban con obliteración de las cisternas del tronco cerebral. Conclusiones: Los pacientes con hematoma intracerebral ocasionado por la ruptura de un aneurisma de la arteria cerebral media se presentan con deterioro clínico rápido y necesitan de un tratamiento quirúrgico urgente.


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