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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En este sentido, Ogilvy et al. Posterior fossa surgery complicated by a pseudomeningocele, bilateral subdural hygromata and cerebellar cognitive affective syndrome. We present our experience of a pilot study that PDC was used in patients with poorgrade aSAH with associated intracerebral hematoma. Primary decompressive craniectomy in patients with aneurysmatic subarachnoid hemorrhage. After the shunt was implanted, the patient symptoms got worse slowly in weeks, with severe vertigo, nausea and vomiting associated with upright position and movements, but not when she was at bed.

Decompressive hemicraniectomy for malignant hemispheric infarction. Because the presence of some mechanical valve system, the fluid accumulated in the subdural space instead of going back.

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Drainage through a shunt system could be useful in similar situations. Cerebral vasospasm following aneurysmal subarachnoid hemorrhage.

Of these, 64 had a poor neurological grade scores of 4 or 5 of the World Federation of Neurosurgical Societies at the time of admission. Introduction Subdural CSF collections in cerebellar convexity are very unusual and have been reported as cause of cerebellar syndromes 5.


Although the shunt was working, it could not solve the hygromas. However, two of these six patients had unfavorable outcomes. We implanted a ventriculoperitoneal shunt, medium pressure, and the fistula closed definitely. Nevertheless, the arachnoid was widely opened during the hemangioblastoma surgery and our case of cerebellar infarction surgery. Si continua navegando, consideramos que acepta su uso.

Decompressive hemicraniectomy for poor-grade aneurysmal subarachnoid hemorrhage patients with associated intracerebral hemorrhage: Acute obstructive hydrocephalus associated with infratentorial subdural hygromas complicating Chiari malformation Type I decompression. Only a few cases have been described, none following a decompressive craniectomy. Treatment of patients with intracranial arterial aneurysms in the haemorrhagic period.

Symptomatic subdural hygroma as a complication of foramen magnum decompression for hindbrain herniation Arnold-Chiari deformity.

Craniectomía descompresiva en infarto cerebral maligno

Sin embargo, en la actualidad hay una falta de evidencia para apoyar unas recomendaciones claras para su uso. 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.

Neurologists and ENT made an exhaustive study and peripheral vertigo and other neurological problems were excluded. Indications of dexmedetomidine in the current sedoanalgesia Decompressive craniectomy for the treatment of refractory high intracranial pressure in traumatic brain injury. In three patients PDC was performed after endovascular aneurysm treatment because of the need to evacuate an associated hematoma.


Up to date six cases of symptomatic subdural hygromas in adults have been reported by different authors 1,2,4,5all of them secondary to posterior fossa decompression.

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

Previous article Next article. The MRI showed normal ventricular size with a cerebellar hygroma, extending to descmopresiva posterior interhemispheric fissure. The symptoms disappeared quickly with the drainage of the fluid collection, which confirms that in this case, the mass effect and the clinical worsening was due to expanding hygromas in the posterior cranial fossa.

Conclusion Subdural hygromas in the posterior fossa can be symptomatic and not always resolve spontaneously. Outcome evaluation of these eleven patients was conducted 1 year after the operation assessed by the Glasgow Outcome Scale. T1 axial, supratentorial; B: You can change the settings or obtain more information by clicking here.

J Neurol Neurosurg Psychiatry ; Improved outcome after rupture of anterior circulation aneurysms: Hospital Universitario Vall d’Hebron.