Craniectomía descompresiva en el manejo del traumatismo cráneo–encefálico grave en pediatría. Ángel J. Lacerda Gallardo1, Daisy Abreu. Request PDF on ResearchGate | Craniectomía descompresiva en ictus isquémico maligno de arteria cerebral media | Introduction Medically managed. Complicación tras craniectomía descompresiva: el «síndrome del paciente trepanado» de aparición precoz. Visits. Download PDF. B. Balandin Moreno.

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Infratentorial hygroma secondary to decompressive craniectomy after cerebellar infarction. Six patients survived, and four of them with good results. The appearance of a pathological cavity in the central nervous system after a surgery or a trauma could originate disturbances of CSF circulation.

From Monday to Friday from 9 a. Despite the scientific and technical advances of recent years, aneurysmal subarachnoid hemorrhage aSAH continues descompresivaa present a high morbidity and mortality. Paseo Vall d’Hebron After shunting, the fistula closed, but the patient symptoms worsened. ccraniectomia

Higroma infratentorial secundario a una craniectomía descompresiva tras un infarto de cerebelo

All works go craniectmoia a rigorous selection process. Institut de Recerca Vall d’Hebron. Nevertheless, the arachnoid was widely opened during the cranietomia surgery and our case of cerebellar infarction surgery. Effects of decompressive craniectomy on brain tissue oxygen in patients with intracranial hypertension.

The patient was a 74 years old lady who one month before had suffered a cerebellar infarct complicated with acute hydrocephalus. The conscience level descompdesiva worsening, so a decompressive posterior fossa craniectomy was made. A lumbar drainage resolved temporary the fistula, although, when the drainage was closed the fistula reopened. These could suggest that the bigger arachnoidal gaps provided more fluid getting out and dissecting to the subdural space, causing more severe symptoms.

Resultados de un estudio piloto en 11 casos. Acute obstructive hydrocephalus associated with infratentorial subdural hygromas complicating Chiari malformation Type I decompression. Proposed use of prophylactic decompressive craniectomy in poor-grade aneurysmal subarachnoid hemorrhage patients presenting with associated large sylvian hematomas.


Craniectomía descompresiva en infarto cerebral maligno

A CT scan showed a hemispheric cerebellar infarction with caniectomia mass effect and hydrocephalus Fig. En este sentido, Ogilvy et al. Conclusion Subdural hygromas in the posterior fossa can be symptomatic and not always resolve spontaneously.

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Because the presence of some mechanical valve system, the fluid accumulated in the subdural space instead of going back. World Federation of Neurosurgical Societies.

T2 coronal one month after the shunting shows big bilateral hygromas over the cerebellum convexity, extending to the posterior interhemispheric fissure.

Treatment of patients with intracranial arterial aneurysms in the haemorrhagic period. She had good evolution after decompressive craniectomy without shunting.

Cerebral vasospasm following aneurysmal subarachnoid hemorrhage. Although the shunt was working, it could not solve the hygromas.

Case report A 74 years old woman presented dizziness, nausea and vomiting for 24 hours and was admitted in our hospital somnolent. Cerebral blood flow and ICP craniectmoia in patients with communicating hydrocephalus after aneurysm rupture.

Symptomatic subdural hygroma as a complication of foramen magnum decompression for hindbrain herniation Arnold-Chiari deformity. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. The imaging sequence clearly shows there is an expanding accumulation and not an ex-vacuo collection.

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Entre el 1 de marzo de y el 31 de abril dese trataron pacientes con HSAa en nuestro hospital. Sin embargo, nuestro estudio tiene limitaciones importantes.

A 74 years old woman presented dizziness, nausea and vomiting for 24 hours and was admitted in our hospital somnolent. After the improvement, she started worsening again, and a ventricular catheter was implanted in the biggest hygroma of posterior cranial fossa and connected to the shunt with a Y-shape connector. Improved outcome after rupture of anterior circulation aneurysms: Assessment of outcome after severe brain damage.


We cannot explain why the ventricular catheter did not avoid the high pressure in the descomprseiva fossa, and why the CSF produced in the ventricles could travel forward those compartments, but not go back.

We present a case of expansive CSF collection in the cerebellar convexity. Complication of descompressive craniectomy: A control CT scan shows normal ventricular size and a collection where the cerebellar infarction had occurred. Childs Nerv Syst ; This mechanical valve system could be formed between the injured parenchyma and the dura mater.

We present our experience of a pilot study that PDC was used in patients with poorgrade aSAH with associated intracerebral hematoma. Drainage through a shunt system could be useful in similar situations.

Subscribe to Medicina Intensiva English Edition. La TC craneal realizada de urgencias revela la presencia de una hemorragia subaracnoidea asociada con un gran hematoma cuantificado en 60 cc Imagen A. The CSF accumulated in the subdural space of the posterior fossa and continued to dissect through the tentorial notch into the supratentorial compartment.

In the control CT scan at one month after surgery the hygromas descompreiva disappeared, the patient was symptomatic. Curr Treat Options Neurol ;