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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A catheter was implanted in the collection and connected to the shunt. A control CT scan shows normal ventricular craniecfomia and a collection where the cerebellar infarction had occurred. Sin embargo, en la actualidad hay una falta de evidencia para apoyar unas recomendaciones claras para su uso. Effects of decompressive craniectomy on brain tissue oxygen in patients with intracranial hypertension.

Fifteen days after surgery, the patient started with new positional vertigo, nausea and vomiting and a wound CSF fistula that needed ventriculoperitoneal shunt medium pressure because conservative treatment failed. Acute obstructive hydrocephalus associated with infratentorial subdural hygromas complicating Chiari descopmresiva Type I decompression.

The collection had no blood signal and expanded during observation. Institut de Recerca Vall d’Hebron. She had good evolution after decompressive craniectomy without shunting. Resultados de un estudio piloto en 11 casos Primary decompressive craniectomy in patients with aneurysmatic subarachnoid hemorrhage.

Subscriber If you already have your login data, please click here. The symptoms disappeared quickly with the drainage of the fluid collection, which confirms that in this case, the mass effect and the clinical worsening was due to expanding hygromas in the posterior cranial fossa.


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A 74 years old woman presented dizziness, nausea and vomiting for 24 hours and was admitted in our hospital somnolent. Subscribe to our Newsletter. Discussion Vraniectomia is not an easy explanation for the fluid accumulation and the high pressure in the posterior fossa in this case.

Curr Treat Options Neurol ; Hospital Universitario Vall d’Hebron, Barcelona. Posterior fossa surgery complicated by a pseudomeningocele, bilateral subdural hygromata and cerebellar cognitive affective syndrome.

Because the presence of some mechanical valve system, the fluid accumulated in the subdural space instead of going back. Treatment of refractory intracranial hypertension in a spina bifida patient by a concurrent ventricular and cisterna magna-to-peritoneal shunt.

We cannot explain why the ventricular catheter did not avoid the high pressure in the posterior fossa, and why the CSF produced in the ventricles could travel forward those compartments, but not go back. Treatment of patients with intracranial arterial aneurysms in the haemorrhagic period.

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

Two days after the surgery the patient was asymptomatic and the hygromas had disappeared in the control CT scan at one month Fig. Are you a health professional able to prescribe or dispense drugs?

Descompresiiva Res ; We can speculate some valve mechanism was formed. SRJ is a prestige metric based on the idea that not all citations are the same. The pathophysiology of the CSF is complex and our knowledge can not already explain every pathological situation. We hypothesize that the fluid could get out of the arachnoidal space into the pseudomeningocele due to CSF pulsations and was directed to the subdural space.


Outcome evaluation of these eleven patients was conducted 1 year after the operation assessed by the Glasgow Outcome Scale. Of the five who didn’t survive, one patient died from a delayed epidural-subgaleal hematoma as a complication of the decompressive technique, and the other four patients died because of refractory intracranial hypertension.

Improved outcome after rupture of anterior circulation aneurysms: The patient was a 74 years old lady who sescompresiva month before had suffered a cerebellar infarct complicated with acute hydrocephalus.

Br J Neurosurg ; Paseo Vall d’Hebron J Neurol Neurosurg Psychiatry ; You can change the settings or obtain more information by clicking here.

Cerebrovasc Dis ; After the cerebellar infarction and the subsequent decompressive craniectomy a disruption in the CSF dynamics occurred with liquid getting out of the fourth cranlectomia into the subdural space and with a flap-valve effect.