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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Decompressive hemicraniectomy for poor-grade aneurysmal subarachnoid hemorrhage patients with associated intracerebral hemorrhage: Br J Neurosurg ; Continuing navigation will be considered as acceptance of this use.

J Neurol Neurosurg Psychiatry ; A control CT scan showed a pseudomeningocele and a collection where the cerebellar infarction had occurred with normal ventricular size Fig. After the cerebellar infarction and the subsequent decompressive craniectomy a disruption in the CSF dynamics occurred with liquid getting out of the fourth ventricle into the subdural space and with a flap-valve effect.

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. From Monday to Friday from 9 a. We present our experience of a pilot study that PDC was used in patients with poorgrade aSAH with associated intracerebral hematoma.

This case shows an infrequent problem of CSF circulation at posterior fossa that resulted in vertigo of central origin.

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

Are you a health professional able to prescribe or dispense drugs? Hospital Universitario Vall d’Hebron, Barcelona. We present a case of expansive CSF collection in the cerebellar convexity.


To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior. Craniechomia control CT scan shows normal ventricular size and a collection where the cerebellar infarction had occurred. Entre el 1 de marzo y el 31 de abril dese trataron en nuestro hospital pacientes con HSAa.

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.

Craniectomía descompresiva en infarto cerebral maligno

No hubo otras complicaciones de la CD en los otros diez pacientes. Entre el 1 de marzo de y el 31 de abril dese trataron pacientes con HSAa en nuestro hospital. Delayed massive cerebral fat embolism secondary to severe polytrauma. Ocho pacientes fueron mujeres y tres hombres.

A lumbar drainage resolved temporary the fistula, although, when the drainage was closed the fistula reopened. Report of two cases and literature review. Previous article Next article. In the eight remaining patients, PDC was performed in the same clipping and evacuation of the associated hematoma. Si continua navegando, consideramos que acepta su uso.

J Neurosurg ; A higroma-ventricle-peritoneal shunt solved the symptoms of the patient. The CT scan shows a hemispheric cerebellar infarction with important mass effect and hydrocephalus. Resultados Ocho pacientes fueron mujeres y tres hombres. Despite the scientific and technical advances of recent years, aneurysmal subarachnoid hemorrhage aSAH continues to present a high morbidity and mortality. There is not an easy explanation for the fluid accumulation and the high pressure in the posterior fossa in this case.


We can speculate some valve mechanism was formed.

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.

Although the shunt was working, it could not solve the hygromas.

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The clinical timing suggest the fluid was leaking from the arachnoid causing the fistula first, after the fistula closed, the CSF followed the subdural plane, the pressure increased and the patient got worse.

Hospital Universitario Vall d’Hebron. She recovered, and did not need a shunt in that moment. Cerebral blood flow and ICP patterns in patients with communicating hydrocephalus after aneurysm rupture. Sin embargo, en la actualidad hay una falta de evidencia para apoyar unas recomendaciones claras para su uso. You can change the settings or obtain more information by clicking here. This item has received. Predicting outcome in poor-grade patients with subarachnoid hemorrhage: Neurol Res ; Primary decompressive craniectomy in patients with aneurysmatic subarachnoid hemorrhage.