title: [Decompressive craniectomy for treatment of intracranial hypertension secondary to large ischemic cerebral infarction: analysis of 34 cases].
abstract: 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.
authors.affiliation: Hospital Santa Casa de Montes Claros, Rua Aracajú 61, 39402-267 Montes Claros, MG, Brazil. trabalhoglm@yahoo.com.br
authors.forename: Márcio Costa
authors.initials: MC
authors.lastname: Nobre
authors.forename: Marcílio
authors.initials: M
authors.lastname: Monteiro
authors.forename: Antônio Carlos de
authors.initials: AC
authors.lastname: Albuquerque
authors.forename: Adriano Teixeira
authors.initials: AT
authors.lastname: Veloso
authors.forename: Vandete Aguiar
authors.initials: VA
authors.lastname: Mendes
authors.forename: Marise Fagundes
authors.initials: MF
authors.lastname: Silveira
authors.forename: Lucídio Duarte de
authors.initials: LD
authors.lastname: Souza Filho
authors.forename: Marcelo José da
authors.initials: MJ
authors.lastname: Silva
authors.forename: Geraldo Vítor Cardoso
authors.initials: GV
authors.lastname: Bicalho
mesh_terms: 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