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Academia Mexicana de Neurología, A.C.

2008, Number 2

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Rev Mex Neuroci 2008; 9 (2)

Effect of decompressive craniectomy to obtain ICP reduction demonstrated by sequential CT scan

Lacerda GAJ, Díaz AJA, Miranda RG, Pérez LS, Imbert PJ, Abreu PD

Language: Spanish
References: 22
Page: 136-140
PDF size: 83.76 Kb.


ABSTRACT

Introduction: It seems to be a correlation between images of CT scan and intracranial pressure (ICP) in patients with severe cranial trauma. Method: We have conducted a prospective, controlled, no randomized study in 66 patients admitted with severe head injury (Glasgow coma scale score ‹ 8) in the period between January 2003 and December 2006. According to the treatment modality, the patients were distributed in two groups: I. Decompressive craniectomy. II. Results: 66 patients were included, 45 (68.18%) in group I and 21(31.82%) in group II. 60% in group I showed improvement in CT Scan images, 24(88.89%) survived and 20 (74.07%), with a good outcome (ERG 4 y 5), only 3 (11.11%) died. In the group II, 14.29% improved, noone died, 16(76.19%) remained without changes and 5 (31.25%) died. Conclusions: La CD is an efficient meted to control ICP, effect demonstrated y sequential CT Scans.


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