Decompressive craniectomy for treatment of intracranial hypertension secondary to large ischemic cerebral infarction: analysis of 34 cases

• Published in: Arquivos de neuro-psiquiatria Vol. 65; no. 1; pp. 107 - 113
• Main Authors: Nobre, Márcio Costa, Monteiro, Marcílio, Albuquerque, Antônio Carlos de, Veloso, Adriano Teixeira, Mendes, Vandete Aguiar, Silveira, Marise Fagundes, Souza Filho, Lucídio Duarte de, Silva, Marcelo José da, Bicalho, Geraldo Vítor Cardoso
• Format: Journal Article
• Language: Portuguese
• Published: Brazil 01.03.2007
• Subjects: Adolescent; Adult; Aged; Cerebral Infarction - complications; Child; Child, Preschool; Craniotomy - methods; Decompression, Surgical - methods; Female; Humans; Intracranial Hypertension - etiology; Intracranial Hypertension - mortality; Intracranial Hypertension - surgery; Male; Middle Aged; Retrospective Studies; Treatment Outcome
• ISSN: 0004-282X
• DOI: 10.1590/S0004-282X2007000100022

The large ischemic cerebral infarction (LICI) is a blood supply loss of a large area in the brain, mainly on the middle cerebral artery. Is possible that evolutes a major edema, intracranial hypertension and death in about 80% of the cases. To evaluate the results of a decompressive craniectomy on the treatment of the secondary intracranial hypertension to LICI, comparing to other results of medical literature already published. Were analysed 34 patients diagnosed with LICI clinically treated unsuccessfully that needed further on the decompressive craniectomy treatment, for the control of intracranial hypertension. 8 patients (23.52%) died, 26 (76.47%) survived, and 2 (7.70%) developed a vegetative state condition. The factors age over 50 years and male gender were associated with a high death risk. The level of consciousness at admission and bone flap area were nearer the values of statistic significance.