Carrillo ER, Leal GP, Morones O

Language: Spanish
References: 34
Page: 55-62
PDF size: 123.06 Kb.

ABSTRACT

Background: The decompressive craniectomy is an intervention that allows brainstem expansion in those cases when cerebral edema is the main determinant of intracranial hypertension. Objective: To review the impact of decompressive craniectomy in those patients with intracranial hypertension due to brain trauma and cerebrovascular hemorrhagic or ischemic diseases. Discussion: Decompressive craniectomy decreases intracranial pressure in patients with brain trauma and acute cerebrovascular disease. This maneuver in brain trauma patients is not conclusively. In acute cerebrovascular disease after decompressive craniectomy this patients have a good neurological outcome. Conclusion: The development and results of multicentric, randomized trials are necessary to evaluate the efectivity of the intervention in patients with brain trauma. The grade of evidence in patients with acute cerebrovascular disease is strong enough to recommend it in intracranial hypertension.

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