[Decompressive craniectomy for treatment of intracranial hypertension secondary to large ischemic cerebral infarction: analysis of 34 cases].
The large ischemic cerebral infarction (LICI) is a blood supply loss of a large area in the brain, mainly on the middle cerebral artery. Is possible that evolutes a major edema, intracranial hypertension and death in about 80% of the cases.


OBJECTIVE
To evaluate the results of a decompressive craniectomy on the treatment of the secondary intracranial hypertension to LICI, comparing to other results of medical literature already published.


METHODS
Were analysed 34 patients diagnosed with LICI clinically treated unsuccessfully that needed further on the decompressive craniectomy treatment, for the control of intracranial hypertension.


RESULTS
8 patients (23.52%) died, 26 (76.47%) survived, and 2 (7.70%) developed a vegetative state condition.


CONCLUSIONS
The factors age over 50 years and male gender were associated with a high death risk. The level of consciousness at admission and bone flap area were nearer the values of statistic significance.
Nobre
Márcio Costa
MC
Hospital Santa Casa de Montes Claros, Rua Aracajú 61, 39402-267 Montes Claros, MG, Brazil. trabalhoglm@yahoo.com.br
Monteiro
Marcílio
M
Albuquerque
Antônio Carlos de
AC
Veloso
Adriano Teixeira
AT
Mendes
Vandete Aguiar
VA
Silveira
Marise Fagundes
MF
Souza Filho
Lucídio Duarte de
LD
Silva
Marcelo José da
MJ
Bicalho
Geraldo Vítor Cardoso
GV
D000293:Adolescent; D000328:Adult; D000368:Aged; D002544:Cerebral Infarction / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D003399:Craniotomy / Q000379:methods*; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D006801:Humans; D019586:Intracranial Hypertension / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome