Hemispheric strokes: clinical or surgical management? Intracranial pressure monitoring of a case and review of the literature

The authors report a case of a right hemispheric ischemic infarction on a 77-year-old patient that was monitored with an extradural intracranial pressure monitor (Ladd device). We show the huge intracranial hypertension that the brain was submitted despite of the medical treatment. The treatment of...

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Bibliographic Details
Published inArquivos de neuro-psiquiatria Vol. 53; no. 4; pp. 821 - 824
Main Authors Carvalho, G A, Carvalho Filho, A
Format Journal Article
LanguageEnglish
Published Brazil Academia Brasileira de Neurologia - ABNEURO 01.12.1995
Subjects
Aged
Cerebrovascular Disorders - physiopathology
Cerebrovascular Disorders - therapy
Humans
Intracranial Pressure
Male
Monitoring, Physiologic
NEUROSCIENCES
PSYCHIATRY
intracranial pressure
hemicraniectomia
monitorização da pressão intracraniana
acidente cerebrovascular hemisférico
hemicraniectomy
monitoring
hemispheric stroke
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Summary:The authors report a case of a right hemispheric ischemic infarction on a 77-year-old patient that was monitored with an extradural intracranial pressure monitor (Ladd device). We show the huge intracranial hypertension that the brain was submitted despite of the medical treatment. The treatment of hemispheric strokes can be very challenging. The usual antiedema drugs very often prove to be of no help against the mass effect and the high intracranial pressure that some patients present. More recently reports on the literature are showing good results following a decompressive surgery on such ischemic infarcts.
Bibliography:ObjectType-Case Study-3
SourceType-Scholarly Journals-1
content type line 23
ObjectType-Review-1
ObjectType-Feature-5
ObjectType-Report-2
ObjectType-Article-4
ISSN:0004-282X
1678-4227
0004-282X
DOI:10.1590/S0004-282X1995000500020