Decompressive Craniectomy in Posterior Fossa Ischemic Stroke
نویسندگان
چکیده
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 a patient with a subacute ischemic infarction in the vertebro-basilar territory, with perilesional edema, and a posterior fossa decompressive craniectomy (DC) was carried out.
منابع مشابه
EVALUATION OF OUTCOME OF CONSERVATIVE TREATMENT IN PATIENTS WITH MASSIVE ISCHEMIC STROKE WHO HAVE NOT UNDERGONE CRANIECTOMY SURGERY
Background & Aims: Decompressive Craniectomy (DC) is recommended for patients with extensive cerebral infarction. At this study, we aimed to assess the mortality and 3-month outcome of these patients who are not going under DC. Material & Methods: In this prospective descriptive study, all patients referred to Imam Reza Hospital in Urmia, Iran, from 2017-2019 with extensive ischemic stroke wit...
متن کاملDelayed combination therapy of local brain hypothermia and decompressive craniectomy on acute stroke outcome in rat
Objective(s):Hypothermia and decompressive craniectomy (DC) have been shown to be neuroprotective. This study was designed to evaluate neuroprotective effects of delayed singular or combination of DC and local hypothermia on stroke. Materials and Methods: Cerebral ischemia was induced in 48 Wistar rats assigned to 4 groups: control, decompressive craniectomy (DC), local hypothermia (LH), combin...
متن کاملEvidence-based nursing review of craniectomy care.
nterest in decompressive craniectomy (DC) to manage neurological emergencies including stroke has waxed and waned for decades. The best evidence for the use of DC is in patients with refractory cerebral edema related to large territory ischemic stroke. Although many publications have evaluated the role of craniectomy in managing neurological emergencies, none outline care priorities for patient...
متن کاملAbstract # 119: Decompressive Craniectomy for Posterior Reversible Encephalopathy Syndrome
119 Decompressive Craniectomy for Posterior Reversible Encephalopathy Syndrome Abstract Type: Case Report/Case Series Amy I. Lee, M.D.; Patrick Shih, M.D.; John C. Liu, M.D. Northwestern University Posterior reversible encephalopathy syndrome (PRES) is a poorly understood, rare condition associated with obstetrical deliveries. Medical management is directed at treatment of the underlying cause ...
متن کاملDecompressive craniectomy using gelatin film and future bone flap replacement.
OBJECT Decompressive craniectomy plays an important role in the management of patients with traumatic brain injury (TBI) and stroke. Risks of decompressive craniectomy include those associated with cranioplasty, and may be related to adhesions that develop between the brain surface and overlying scalp and temporalis muscle. The authors report their institutional experience using a multilayered ...
متن کامل