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Type: Artigo de periódico
Title: Decompressive Craniectomy In Massive Cerebral Infarction.
Author: Mattos, João Paulo
Joaquim, Andrei Fernandes
Almeida, João Paulo Cavalcante de
Albuquerque, Lucas Alverne Freitas de
Silva, Elton Gomes da
Marenco, Horácio Armando
Oliveira, Evandro de
Abstract: Twenty one patients were submitted to decompressive craniectomy for massive cerebral infarct. Ten patients (47.6%) presented a good outcome at the 6 months evaluation, eight had a poor outcome (38%) and three died (14.2%). There was no outcome statistical difference between surgery before and after 24 hours of ictus, dominant and non-dominant stroke groups. Patients older than 60 years and those who had a Glasgow Coma Scale (GCS)<8 in the pre-surgical exam presented worst outcome at six months (p<0.05). Decompressive craniectomy for space-occupying large hemispheric infarction increases the probability of survival. Age lower than 60 years, GCS >8 at pre-surgical exam and decompressive craniectomy before signs of brain herniation represent the main factors related to a better outcome. Dominant hemispheric infarction does not represent exclusion criteria.
Subject: Adult
Age Factors
Aged, 80 And Over
Cerebral Infarction
Decompressive Craniectomy
Glasgow Coma Scale
Middle Aged
Retrospective Studies
Treatment Outcome
Young Adult
Citation: Arquivos De Neuro-psiquiatria. v. 68, n. 3, p. 339-45, 2010-Jun.
Rights: aberto
Identifier DOI: 
Date Issue: 2010
Appears in Collections:Unicamp - Artigos e Outros Documentos

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