%0 Journal Article
%T Craniectomia descompressiva para tratamento de hipertens£¿o intracraniana secund¨¢ria a infarto encef¨¢lico isqu¨ºmico extenso: an¨¢lise de 34 casos
%A Nobre
%A M¨¢rcio Costa
%A Monteiro
%A Marc¨ªlio
%A Albuquerque
%A Ant£¿nio Carlos de
%A Veloso
%A Adriano Teixeira
%A Mendes
%A Vandete Aguiar
%A Silveira
%A Marise Fagundes
%A Souza Filho
%A Luc¨ªdio Duarte de
%A Silva
%A Marcelo Jos¨¦ da
%A Bicalho
%A Geraldo V¨ªtor Cardoso
%J Arquivos de Neuro-Psiquiatria
%D 2007
%I Academia Brasileira de Neurologia - ABNEURO
%R 10.1590/S0004-282X2007000100022
%X the large ischemic cerebral infarction (lici) is a brain supply loss of a large area in the brain, mainly on the middle cerebral artery. is possible that evolutes a major edema, intracranial hypertension and death in about 80% of the cases. objective: to avaliate the results of a descompressive craniectomy on the treatment of the secundary intracranial hypertension to lici, comparing to other results of medical literature already published. method: were analysed 34 pacients diagnosed with lici clinically treated unsuccesfully that needed forther on the decompressive craniectomy treatment, for the control of intracranial hypertension. results: 8 pacients (23.52%) died, 26 (76.47%) survived, and 2 (7.70%) developed a vegetative state condition. conclusion: the factors age over 50 years and male gender were associated with a high death risk. the level of consciousness at admission and bone flap area were nearer the values of statistic significance.
%K brain edema
%K cerebral infarction
%K decompressive craniectomy.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0004-282X2007000100022&lng=en&nrm=iso&tlng=en