Infarto maligno cerebral e craniectomia descompressiva: Revisão da literatura

Fernandes, Sérgio Tadeu; Godoy, Roberto; Montanaro, Antônio Carlos; Oliveira, Paulo Geraldo Dorsa de

doi:10.1055/s-0038-1625531

Cited by 2 publications

(13 citation statements)

References 25 publications

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“…The literature defines MI based on head CT scan findings regarding hyperdense MCA stem or internal cerebral artery, effacement of sulci and gyri, and an unclear distinction between white and gray matter 4 . The head CT scan of the patients in this study characterized MI diagnosis -all patients had hyperdense MCA, and 80% had their right hemisphere affected.…”

Section: Discussionmentioning

confidence: 99%

“…GCS and NIHSS scores must be observed from the onset of the first symptoms because of the severe MI clinical neurological manifestation, including hemiparesis, hemiparesthesia, hemianopia, conjugate eye deviation, unawareness, and sleepiness 4 . GCS aims to assess the level of awareness 15 , which is particularly considered for DC indication when values are equal to or below 14 21 .…”

Section: Discussionmentioning

confidence: 99%

“…The mean time to perform DC in this study was 2 days (48 hours), ranging between patients from 1 to 3 days (24 to 72 hours). The literature states that the earlier the DC, the better the patient's prognosis 3,15 and recommends that it be performed within 48 hours of symptoms onset 4 . However, such time still varies in current studies, ranging from 24 to 72 hours 3,4,21 .…”

Section: Discussionmentioning

confidence: 99%

“…The literature states that the earlier the DC, the better the patient's prognosis 3,15 and recommends that it be performed within 48 hours of symptoms onset 4 . However, such time still varies in current studies, ranging from 24 to 72 hours 3,4,21 . Only one out of the five patients approached in this study was submitted to DC within 24 of hospital admission.…”

Section: Discussionmentioning

confidence: 99%

“…Adequate MI management relieves intracranial pressure because it gives room to accommodate cerebral edema, reverts or prevents cerebral herniation, and restores cerebral perfusion, minimizing possible secondary damage to tissues 3 , and often ensuring a better quality of life for patients 4 . Despite reducing mortality and providing clinical recovery, all these post-DC results may cause in patients a degree of incapacity that will require follow-up over time 5,6 .…”

Section: Introductionmentioning

confidence: 99%

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Clinical evolution of dysphagic patients after malignant infarction and decompressive craniectomy: a case series

et al. 2023

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This study aimed to characterize clinical-neurological factors and the functional swallowing capacity of patients with malignant infarction submitted to decompressive craniectomy during the hospital stay. This retrospective, descriptive, observational study was conducted between January 2020 and December 2021. The following data regarding up to eight stages were extracted for descriptive analysis: age, location of the lesion, level of awareness according to the Glasgow Coma Scale, neurological impairment according to the National Institutes of Health Stroke Scale, and the functional swallowing capacity according to the Functional Oral Intake Scale. Data on five patients were collected, with a mean of 0.2 days for the first neurological assessment. Decompressive craniectomy was performed in a mean of 2 days after admission. The speech-language-hearing assessment occurred in a mean of 8.2 days, and the speech-language-hearing discharge took a mean of 35.4 days. The neurological impairment score remained the same as in the first neurological assessment after decompressive craniectomy, with a mean score of 16.6. The functional swallowing capacity was the same in the first assessment after decompressive craniectomy, on FOIS level 1, improving considerably by the discharge, with a mean level of 4.8. It is concluded that clinical-neurological factors can interfere with the functional swallowing capacity, although they did not hinder either speech-language-hearing treatment or their evolution to a full oral diet during the hospital stay.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinical evolution of dysphagic patients after malignant infarction and decompressive craniectomy: a case series

et al. 2023

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Evolução clínica de pacientes disfágicos pós-AVCi maligno e craniectomia descompressiva: série de casos

et al. 2023

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RESUMO O objetivo do presente trabalho é caracterizar fatores clínicos-neurológicos e capacidade funcional de deglutição de pacientes com Acidente Vascular Cerebral Isquêmico Maligno submetidos a craniectomia descompressiva durante internação hospitalar. Trata-se de um estudo observacional, descritivo e retrospectivo, realizado de janeiro de 2020 a dezembro de 2021. Os dados foram extraídos em até oito momentos, incluindo idade, local da lesão, nível de consciência de acordo com Glasgow, comprometimento neurológico pelo National Institutes of Health Stroke Scale e capacidade funcional de deglutição pela Escala Funcional de Ingestão por Via Oral. Realizou-se análise descritiva. Foram coletados dados de 5 pacientes sendo a média de tempo para primeira avaliação neurológica de 0,2 dias. A realização da craniectomia descompressiva levou em média 2 dias após admissão. Avaliação fonoaudiológica ocorreu, em média, 8,2 dias e alta fonoaudiológica levou, em média, 35,4 dias. O comprometimento neurológico manteve-se na pontuação da primeira avaliação neurológica pós-craniectomia descompressiva, média de 16,6. A capacidade funcional de deglutição foi a mesma na primeira avaliação pós-craniectomia descompressiva, com nível 1 na FOIS, melhorando consideravelmente, com média de nível 4,8, na alta. Concluiu-se que fatores clínicos-neurológicos podem interferir na capacidade funcional de deglutição, contudo não limitaram a atuação fonoaudiológica e evolução com dieta oral exclusiva na internação hospitalar.

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Infarto maligno cerebral e craniectomia descompressiva: Revisão da literatura

Cited by 2 publications

References 25 publications

Clinical evolution of dysphagic patients after malignant infarction and decompressive craniectomy: a case series

Clinical evolution of dysphagic patients after malignant infarction and decompressive craniectomy: a case series

Evolução clínica de pacientes disfágicos pós-AVCi maligno e craniectomia descompressiva: série de casos

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