Craniectomía descompresiva en una paciente con encefalitis herpética asociada a hipertensión intracraneana refractaria / Decompressive craniectomy in a patient with herpetic encephalitis associated to refractory intracranial hypertension
Rev. méd. Chile
;
131(12): 1434-1438, dic. 2003. ilus, tab
Artigo
em Espanhol
| LILACS
| ID: lil-360242
ABSTRACT
Herpetic encephalitis is the most common cause of viral encephalitis in our country. Pathological studies show progressive necrosis and edema in specific territories of the brain. The mortality of herpetic encephalitis was reduced from 70% to 20% with the use of intravenous aciclovir in the first three days of illness. However, almost 50% of patients develop a neurological deficit. One of the most important causes of death in herpetic encephalitis is the refractory intracranial hypertension. There are anecdotal reports of patients with refractory intracranial hypertension due to herpetic encephalitis that were treated with decompressive craniectomy with good results. We report a 21 years old female patient with herpetic encephalitis and refractory intracranial hypertension that was successfully treated with a decompressive craniectomy (Rev Méd Chile 2003; 131: 1434-8).
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Descompressão Cirúrgica
/
Hipertensão Intracraniana
/
Craniotomia
/
Encefalite por Herpes Simples
Tipo de estudo:
Estudo diagnóstico
/
Estudo de etiologia
/
Fatores de risco
Limite:
Adulto
/
Feminino
/
Humanos
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2003
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Pontificia Universidad Católica de Chile/CL
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