medigraphic.com
ISSN 2448-8909 (Print)

1998, Number 3

<< Back

Med Crit 1998; 12 (3)

Decompressive hemicraniectomy in extensive cerebral infarction

Carrillo ER, Neil NMF, Ramírez HJM, Alvarado MC, Gargallo HJJ

Language: Spanish
References: 26
Page: 111-115
PDF size: 134.16 Kb.


ABSTRACT

Objective. To emphasize the value of hemicraniectomy in the management of massive cerebral infarction.
Design. A case report and literature review.
Setting. An ICU of a tertiary care hospital.
Patient. A 57-year-old female patient admitted to the ICU for management of severe brain edema.
Interventions. Mechanical ventilation, normal hemodilution, nimodipine and manitol.
Measurements and main results. A CT scan showed massive dominant hemispheric infarction. A rapid neurologic deterioration was observed and a large left craniectomy was done. On the postoperative the reestablishment of normal hemodynamics was observed, and days later she was removed from artificial ventilation; Glasgow Coma Score was ten.
Conclusion. Hemicraniectomy is a procedure useful in the treatment of acute massive cerebral infarction.


REFERENCES

  1. Moulin DE, Lo R, Chiang J. Prognosis and middle cerebral artery oclussion. Stroke 1985;16:282-84.

  2. Turney TM, Garaway WM, Whisnant JP. The natural history of hemispheric and brain stem infarction in Rochester, Minnesota. Stroke 1984;15:790-794.

  3. Ng LKY, Nimmanitya J. Massive cerebral infarction with severe brain swelling: A clinico pathological study. Stroke 1970;1:158-163.

  4. Plum F. Brain swelling and edema cerebral vascular disease. Res Pbl Assoc Res Nerv Ment Dis 1961;41:318-384.

  5. Carter AB. Cerebral infarction. New York, MacMillan Co., 1964, p:115.

  6. Macdonell RAL, Kalnins RA, Donnan GA. Cerebellar infarction. Natural history, Prognosis and pathology. Stroke 1987;1:158-163.

  7. Chambers BR, Norris JW, Shurrell BL, Hachinski VC. Prognosis of acute stroke. Neurology 1987;37:221-225.

  8. Ropper AH, Shafran B. Brain edema after stroke: Clinical syndrome and intracraneal pressure. Arch Neurol 1984;41:26-29.

  9. Chyatte W, Sundt TM. Cerebral vasospasm after subarachnoid hemorrhage. Mayo Clin Proc 1984;59:498.

  10. Hijdra A, Van Gijn, Stefanko S et al. Delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage: Clinicoanatomic correlation. Neurology 1986;36:329.

  11. Selman WR, Spetzler RF. Therapeutic for focal cerebral ischemia. Neurosurgery 1980;6:446-452.

  12. Smith AL, Hoff JT, Nielsen SL, Larson CP. Barbiturate protection in acute focal cerebral ischemia. Stroke 1974;5:1-7.

  13. Adams RD, Victor M, Ropper A. Cerebrovascular diseases. Principles of neurology. Mac Graw Hill 1997; p. 777-873.

  14. Moddy RA, Ruamsuke S, Mullan SF. An evaluation of decompression in experimental head injury. J Neurosurg 1968;29:586-590.

  15. McLaurin RL, Nichols JB Jr. Extensive cranial decompression in the treatment of severe lead encephalopathy. Pediatric 1957;20:653-667.

  16. Ausman JI, Roger C, Sharp HL. Decompressive craniectomy for the encephalopathy of Reye’s syndrome. Surg Neurol 1976;6:97-99.

  17. Britt RH, Hamilton RD. Large decompressive craniectomy in the treatment of acute subdural hematoma. Neurosurgery 1978;2:195-200.

  18. Ransohoff J, Benjamin MV, Gage EL, Epstein F. Hemicraniectomy in the management of acute subdural hematoma. J Neursurg 1971;34:70-76.

  19. Ivamoto H, Numoto M, Donaghy P. Surgical decompression for cerebral and cerebellar infarct. Stroke 1974;5:365-370.

  20. Lehrich JR, Wincler GF, Ojemann RG. Cerebellar infarction with brain stem compression: Diagnosis and surgical treatment. Arch Neurol 1970;22:490-498.

  21. Scarcella G. Encephalomalasia simulating the clinical and radiological aspects of brain tumors. J Neurosurg 1956;13:366-380.

  22. Greenwood J. Acute brain infarction with high intracranial pressure: Surgical indications. Johns Hopkins Med J 1968;122:254-256.

  23. Ivamoto H, Numoto M. Surgical descompression for cerebral and cerebellar infarct. Stroke 1974;5:365-370.

  24. Rengachary S, Batnitzky S et al. Hemicraniectomy for acute massive cerebral infarction. Neurosurgery 1981;8:321-328.

  25. Carter B, Christopher S. One-Year outcome after decompressive surgery for massive nondominant hemispheric infarction. Neurosurgery 1997;6:1168-1176.

  26. Schwab S, Jünger E et al. Craniectomy: An aggressive treatment approach in severe encephalitis. Neurology 1997;48:412-417.




2020     |     www.medigraphic.com