Decompressive craniectomy for space occupying hemispheric and cerebellar ischemic strokes: Swiss recommendations.
نویسندگان
چکیده
P. Michel , M. Arnold, H.-J. Hungerbühler, F. Müller, C. Staedler, R. W. Baumgartner, D. Georgiadis, P. Lyrer, H. P. Mattle, R. Sztajzel, B. Weder, B. Tettenborn, K. Nedeltchev, S. Engelter, S. A. Weber, R. Basciani, J. Fandino, F. Fluri, R. Stocker, E. Keller, M. Wasner, M. Hänggi, Y. Gasche, R. Paganoni, L. Regli, for the Swiss Working Group of Cerebrovascular Diseases with the Swiss Society of Neurosurgery and the Swiss Society of Intensive Care Medicine
منابع مشابه
THE EFFICACY OF DECOMPRESSIVE CRANIECTOMY IN TREATMENT OF PATIENTS WITH MASSIVE HEMISPHERIC CEREBRAL INFARCTION
Massive cerebral infarction is often accompanied by early death, secondary to brain edema and trans-tentorial herniation. Several reports indicate beneficial effects of decompressive craniectomy in this situation, but the efficacy of this procedure is still a matter of debate. A n experimental study in a period of3 years was done on2 3 patients with brain edema due to massive cerebral infa...
متن کاملDecompressive craniectomy in massive cerebral infarction.
Twenty one patients were submitted to decompressive craniectomy for massive cerebral infarct. Ten patients (47.6%) presented a good outcome at the 6 months evaluation, eight had a poor outcome (38%) and three died (14.2%). There was no outcome statistical difference between surgery before and after 24 hours of ictus, dominant and non-dominant stroke groups. Patients older than 60 years and thos...
متن کاملRecommendations for the management of cerebral and cerebellar infarction with swelling: a statement for healthcare professionals from the American Heart Association/American Stroke Association.
BACKGROUND AND PURPOSE There are uncertainties surrounding the optimal management of patients with brain swelling after an ischemic stroke. Guidelines are needed on how to manage this major complication, how to provide the best comprehensive neurological and medical care, and how to best inform families facing complex decisions on surgical intervention in deteriorating patients. This scientific...
متن کاملNeuroendocrine changes in patients with acute space occupying ischaemic stroke.
OBJECTIVE To evaluate neuroendocrine changes in critical care patients with acute space occupying hemispheric stroke. METHODS 22 patients with acute space occupying hemispheric stroke were studied (mean age 57.7 years; five women, 17 men). Plasma levels of prolactin, thyrotropin (TSH), total thyroxine (T4), free thyroxine (FT4), and total triiodothyronine (T3) were measured on admission and t...
متن کاملDecompressive Craniectomy in Posterior Fossa Ischemic Stroke
Ischemic damage produced in the posterior cerebral territory causes significant morbidity and urgently must be considered if the patient need a surgical attitude. Surgical decompression by suboccipital craniectomy seams to be effective to treat secondary edema due to cerebellar damage or in posterior fossa, when medical treatment is not able to control side effects. We report a clinical case of...
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ورودعنوان ژورنال:
- International journal of stroke : official journal of the International Stroke Society
دوره 4 3 شماره
صفحات -
تاریخ انتشار 2009