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Therapeutic Hypothermia after Decompressive Craniectomy in Malignant Cerebral Infarction / 대한구급학회지
The Korean Journal of Critical Care Medicine ; : 93-98, 2014.
Artículo en Inglés | WPRIM | ID: wpr-655192
ABSTRACT
Decompressive hemicraniectomy followed by subsequent therapeutic hypothermia can reduce mortality in patients with malignant cerebral infarction without significantly increasing risk. We report three cases of malignant cerebral infarction treated with hemicraniectomy followed by hypothermia. Case 1 received elective decompressive surgery and hypothermia. Case 2 developed subsequent cerebral infarction with uncal herniation. Therefore, emergent decompressive surgery and hypothermia was performed in this case. Despite surgery and hyperosmolar therapy, case 3 received hypothermia treatment for refractory increased intracranial pressure. All patients survived with a score of 4 or 5 on the modified Rankin scale. Therefore, we suggest that application of hypothermia after hemicraniectomy is safe and feasible. Several possible modifications can be made to improve the management strategy in order to increase the benefits of hypothermia treatment.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Edema Encefálico / Presión Intracraneal / Infarto Cerebral / Mortalidad / Craniectomía Descompresiva / Hipotermia Tipo de estudio: Estudio pronóstico Límite: Humanos Idioma: Inglés Revista: The Korean Journal of Critical Care Medicine Año: 2014 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Edema Encefálico / Presión Intracraneal / Infarto Cerebral / Mortalidad / Craniectomía Descompresiva / Hipotermia Tipo de estudio: Estudio pronóstico Límite: Humanos Idioma: Inglés Revista: The Korean Journal of Critical Care Medicine Año: 2014 Tipo del documento: Artículo