Hemispheric strokes: clinical or surgical management? Intracranial pressure monitoring of a case and review of the literature Acidentes cerebrovasculares hemisféricos: conduta clínica ou cirúrgica? Monitorização da pressão intracraniana em um caso e revisão da literatura
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 h...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Revinter Publicações
1995-12-01
|
| Series: | Arquivos de Neuro-Psiquiatria |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1995000500020 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| 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.<br>Os autores apresentam um caso clínico de infarto hemisférico em paciente de 77 anos, no qual a pressão intracraniana foi monitorizada. Apesar do tratamento clínico realizado, a pressão intracraniana se manteve elevada. O tratamento clínico nessa entidade infelizmente mostra, na maioria dos casos, resultados insatisfatórios. Recentemente, novos estudos publicados na literatura mostram resultados promissores obtidos através da craniotomia descompressiva. |
|---|---|
| ISSN: | 0004-282X 1678-4227 |