1998, Number 3
Med Crit 1998; 12 (3)
Carrillo ER, Neil NMF, Ramírez HJM, Alvarado MC, Gargallo HJJ
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ABSTRACTObjective. To emphasize the value of hemicraniectomy in the management of massive cerebral infarction.
Design. A case report and literature review.
Setting. An ICU of a tertiary care hospital.
Patient. A 57-year-old female patient admitted to the ICU for management of severe brain edema.
Interventions. Mechanical ventilation, normal hemodilution, nimodipine and manitol.
Measurements and main results. A CT scan showed massive dominant hemispheric infarction. A rapid neurologic deterioration was observed and a large left craniectomy was done. On the postoperative the reestablishment of normal hemodynamics was observed, and days later she was removed from artificial ventilation; Glasgow Coma Score was ten.
Conclusion. Hemicraniectomy is a procedure useful in the treatment of acute massive cerebral infarction.