Decompressive craniectomy for malignant middle cerebral artery infarction at an emergency hospital in Peru
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| Natura: | Artículo científico |
| Lingua: | en |
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Universidad Peruana Cayetano Heredia
2022
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| author | Fernando Celi |
| author_facet | Fernando Celi |
| contents | Decompressive craniectomy for malignant middle cerebral artery infarction at an emergency hospital in Peru Fernando Celi Giancarlo Saal-Zapata Medicina brain ischemia Middle cerebral artery decompressive craniectomy Objective: To describe clinical, surgical and post-operative characteristics of patients with the diagnosis of malignant infarction of the middle cerebral artery who underwent decompressive craniectomy. Methods: Descriptive, retrospective case series study, performed between March 2017 and March 2020. Data from consecutive patients with the diagnosis of malignant middle cerebral artery infarction were collected. Results: Ten cases were reviewed. Eighty percent of the patients were men, the mean age was 64 years and 60% of the patients were older than 60 years. At admission, the mean Glasgow was 11 points and the mean mRS was 4. The mean time from diagnosis to surgery was 89.7 hours. The anterior cerebral artery was comprised in two cases. Hemorrhagic transformation occurred in three cases. The mean anterior-posterior diameter of the skull flap was 116 mm. The mean ICU and hospital length of stay were 14.1 and 27.5 days, respectively. Three patients died. Conclusions: Decompressive craniectomy is a life-saving procedure in an emergency hospital-setting with an acceptable in-hospital mortality rate within one-month follow-up. 2022 otro 1018-130X https://www.redalyc.org/articulo.oa?id=338071909010 https://www.redalyc.org/journal/3380/338071909010/ https://www.redalyc.org/journal/3380/338071909010/html/ https://www.redalyc.org/journal/3380/338071909010/338071909010.epub https://www.redalyc.org/journal/3380/338071909010/movil https://doi.org/10.20453/rmh.v33i2.4245 en http://www.redalyc.org/revista.oa?id=3380 Revista Médica Herediana application/pdf Universidad Peruana Cayetano Heredia Revista Médica Herediana (Perú) Num.2 Vol.33 |
| format | Artículo científico |
| id | redalyc_338071909010 |
| institution | Redalyc |
| language | en |
| publishDate | 2022 |
| publisher | Universidad Peruana Cayetano Heredia |
| spellingShingle | Decompressive craniectomy for malignant middle cerebral artery infarction at an emergency hospital in Peru Fernando Celi Medicina brain ischemia Middle cerebral artery decompressive craniectomy Decompressive craniectomy for malignant middle cerebral artery infarction at an emergency hospital in Peru Fernando Celi Giancarlo Saal-Zapata Medicina brain ischemia Middle cerebral artery decompressive craniectomy Objective: To describe clinical, surgical and post-operative characteristics of patients with the diagnosis of malignant infarction of the middle cerebral artery who underwent decompressive craniectomy. Methods: Descriptive, retrospective case series study, performed between March 2017 and March 2020. Data from consecutive patients with the diagnosis of malignant middle cerebral artery infarction were collected. Results: Ten cases were reviewed. Eighty percent of the patients were men, the mean age was 64 years and 60% of the patients were older than 60 years. At admission, the mean Glasgow was 11 points and the mean mRS was 4. The mean time from diagnosis to surgery was 89.7 hours. The anterior cerebral artery was comprised in two cases. Hemorrhagic transformation occurred in three cases. The mean anterior-posterior diameter of the skull flap was 116 mm. The mean ICU and hospital length of stay were 14.1 and 27.5 days, respectively. Three patients died. Conclusions: Decompressive craniectomy is a life-saving procedure in an emergency hospital-setting with an acceptable in-hospital mortality rate within one-month follow-up. 2022 otro 1018-130X https://www.redalyc.org/articulo.oa?id=338071909010 https://www.redalyc.org/journal/3380/338071909010/ https://www.redalyc.org/journal/3380/338071909010/html/ https://www.redalyc.org/journal/3380/338071909010/338071909010.epub https://www.redalyc.org/journal/3380/338071909010/movil https://doi.org/10.20453/rmh.v33i2.4245 en http://www.redalyc.org/revista.oa?id=3380 Revista Médica Herediana application/pdf Universidad Peruana Cayetano Heredia Revista Médica Herediana (Perú) Num.2 Vol.33 |
| title | Decompressive craniectomy for malignant middle cerebral artery infarction at an emergency hospital in Peru |
| topic | Medicina brain ischemia Middle cerebral artery decompressive craniectomy |
| url | https://www.redalyc.org/articulo.oa?id=338071909010 https://www.redalyc.org/journal/3380/338071909010/ https://www.redalyc.org/journal/3380/338071909010/html/ https://www.redalyc.org/journal/3380/338071909010/338071909010.epub https://www.redalyc.org/journal/3380/338071909010/movil https://doi.org/10.20453/rmh.v33i2.4245 |