Decompressive craniotomy: prognostic factors and complications in 89 patients

Arquivos de Neuro-Psiquiatria

Rodrigo Moreira Faleiro²  Luiz Carlos Mendes Faleiro²  Elisa Caetano¹  Isabella Gomide¹  Cristina Pita¹  Gustavo Coelho¹  Ellen Brás¹  Bruna Carvalho¹  Sebastião Nataniel Silva Gusmão² 

[1] ,Hospital Felício Rocho

关键词: head injury;    intracranial hypertension;    decompressive craniotomy;    traumatismo cranio-encefálico;    hipertensão intracraniana;    craniotomia descompressiva;   

DOI  :  10.1590/S0004-282X2008000300017

来源: SciELO

【 摘 要 】

Decompressive craniotomy (DC) is applied to treat post-traumatic intracranial hypertension (ICH). The purpose of this study is to identify prognostic factors and complications of unilateral DC. Eighty-nine patients submited to unilateral DC were retrospectively analyzed over a period of 30 months. Qui square independent test and Fisher test were used to identify prognostic factors. The majority of patients were male (87%). Traffic accidents had occurred in 47% of the cases. 64% of the patients had suffered severe head injury, while pupillary abnormalities were already present in 34%. Brain swelling plus acute subdural hematoma were the most common tomographic findings (64%). Complications occurred in 34.8% of the patients: subdural effusions in 10 (11.2%), hydrocephalus in 7 (7.9%) and infection in 14 (15.7%). The admittance Glasgow coma scale was a statistically significant predictor of outcome ( p=0.0309).

【 授权许可】

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