Craniectomia descompressiva para tratamento de hipertens？o intracraniana secundária a infarto encefálico isquêmico extenso: análise de 34 casos

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.