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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Acute obstructive hydrocephalus associated with infratentorial subdural hygromas complicating Chiari malformation Type I decompression.

Cerebral oxygenation following decompressive hemicraniectomy for the treatment of refractory intracranial hypertension. Resultados de un estudio piloto en 11 casos Primary decompressive craniectomy in patients with aneurysmatic subarachnoid hemorrhage.

Decompressive hemicraniectomy for poor-grade aneurysmal subarachnoid hemorrhage patients with associated intracerebral hemorrhage: SRJ is a prestige metric based on the idea that not all citations are the same. The PDC was effective in controlling intracranial pressure in all craniectlmia surviving patients. Infratentorial hygroma secondary to decompressive craniectomy after cerebellar infarction. After 15 days she came back to the hospital because a CSF fistula, and she had started having dizziness again, specially with movements, however no nistagmus, dysmetria, nor ataxia were present.

Primary decompressive craniectomy in patients with aneurysmatic subarachnoid hemorrhage. 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. 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.


Indications of dexmedetomidine in the current sedoanalgesia The patient was a 74 years old lady who one month before had suffered a cerebellar infarct complicated with acute hydrocephalus. A control CT scan shows normal ventricular size and a collection where the cerebellar infarction had occurred. A catheter placed in the posterior fossa hygroma and spliced into the existing valve system established the equilibrium needed, with total disappearance of the abnormal collection.

Posterior fossa surgery complicated by a pseudomeningocele, bilateral subdural hygromata and cerebellar cognitive affective syndrome. Childs Nerv Syst ; Conclusion Subdural hygromas in the posterior fossa can be symptomatic and not always resolve spontaneously.

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Management morbidity and mortality of poor-grade aneurysm patients. The patient became asymptomatic after surgery, and the hygromas had disappeared in control CT at one month.

These two cases have in common that both presented cerebellar symptoms, have pseudomeningocele and needed a new surgery for solving the symptoms. Six patients survived, and four of them with good results. Br J Neurosurg ; This case shows an infrequent problem of CSF circulation at posterior fossa that resulted in vertigo of central origin. T2 coronal one month after the shunting shows big bilateral crainectomia over the cerebellum convexity, extending to the posterior interhemispheric fissure.

Assessment of outcome after severe brain damage.

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

One way communication between different cranial compartments could play a role in the dynamics of some CSF disorders, and therefore need separate edscompresiva. 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.


Resultados de un estudio piloto en 11 casos. T1 axial infratentorial; C: Proposed use of prophylactic decompressive craniectomy in poor-grade aneurysmal subarachnoid hemorrhage patients presenting with associated large sylvian hematomas.

Treatment of refractory intracranial hypertension in a spina bifida patient by a concurrent ventricular and cisterna magna-to-peritoneal shunt. In three patients PDC was performed after endovascular aneurysm treatment because of the need to evacuate an associated hematoma. Hospital Universitario Vall d’Hebron. Casefatality rates and functional outcome after subarachnoid hemorrhage: Descompresica ABCs of measuring intracerebral hemorrhage volumes. Si continua navegando, consideramos que acepta su uso.

The CSF accumulated in the subdural space of the posterior fossa and continued to dissect through the tentorial notch into the supratentorial compartment. We present our experience of a pilot study that PDC was used in patients with poorgrade aSAH with associated intracerebral hematoma.

Two days after the surgery the patient was asymptomatic and the hygromas had disappeared in the control CT scan at one month Fig.

Neurol Res ;