ICP Trend in Massive ICH Patients After Decompressive Craniectomy / 대한뇌혈관외과학회지
Korean Journal of Cerebrovascular Surgery
; : 99-105, 2009.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-146793
Biblioteca responsável:
WPRO
ABSTRACT
OBJECTIVE:
Massive intracerebral hemorrhage (ICH) is devastating neurosurgical disease. Decompression surgery has been performed to manage the uncontrolled increased intracranial pressure and good clinical result has been reported. Authors analyze the ICP trend after the decompression surgery and report the clinical usefulness.METHODS:
Thirty patients data with massive ICH were analyzed retrospectively. Surgical indication was constantly followed in these patient ; Glasgowcoma scale score less than 8, midline shift more than 6 mm on brain CT. In all patients ventricular puncture was done before the decompression and monitored the ventricular pressure changes during and after the surgery.RESULTS:
In massive ICH patients, the ICP was maintained in physiological range if the hematoma was removed more than 80%. And when we tried additional therapies like hypothermia or coma therapies in another group, the ICP was elevated at the time of the additional therapy.CONCLUSION:
From this study, if the ICH removed more than 80% and The ICP was not exceed 20 mmHg during the first post-operation day, the ICP hardly exceed 20 mmHg after than. Authors thought that decompression surgery is not an essential treatment for the massive ICH patient if their hematoma removed enough.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Encéfalo
/
Pressão Intracraniana
/
Punções
/
Hemorragia Cerebral
/
Estudos Retrospectivos
/
Pressão Ventricular
/
Coma
/
Descompressão
/
Craniectomia Descompressiva
/
Hematoma
Tipo de estudo:
Estudo observacional
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Cerebrovascular Surgery
Ano de publicação:
2009
Tipo de documento:
Artigo