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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.53 no.4 São Paulo Dec. 1995 

Hemispheric strokes. Clinical or surgical management? Intracranial pressure monitoring of a case and review of the literature


Acidentes cerebrovasculares hemisféricos: conduta clínica ou cirúrgica? Monitorização da pressão intracraniana em um caso e revisão da literatura



Gustavo Adolpho CarvalhoI; Adolpho Carvalho FilhoII

INeurochirurguische Klinikc, Krankenhaus Nordstadt, Deutschland
IINeurosurgical Department, Clinica Bambina, Rio de Janeiro, Brazil




The authors report a case of a right hemispheric ischemic infarction on a 77-year-old patient that was monitored with an extradural intracranial pressure monitor (Ladd device).We show the huge intracranial hypertension that the brain was submitted despite of the medical treatment.
The treatment of hemispheric strokes can be very challenging. The usual antiedema drugs very often prove to be of no help against the mass effect and the high intracranial pressure that some patients present. More recently reports on the literature are showing good results following a decompressive surgery on such ischemic infarcts.

Key words:intracranial pressure, monitoring, hemispheric stroke, hemicraniectomy


Os autores apresentam um caso clínico de infarto hemisférico em paciente de 77 anos, no qual a pressão intracraniana foi monitorizada. Apesar do tratamento clínico realizado, a pressão intracraniana se manteve elevada. O tratamento clínico nessa entidade infelizmente mostra, na maioria dos casos, resultados insatisfatórios. Recentemente, novos estudos publicados na literatura mostram resultados promissores obtidos através da craniotomia descompressiva.

Palavras-chave: monitorização da pressão intracraniana, acidente cerebrovascular hemisférico, hemicraniectomia.



Texto completo disponível apenas em PDF.

Full text available only in PDF format.




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Aceite: 2-maio-1995.



Dr. Gustavo Adolpho Carvalho - Neurochirurgische Klinik, Krankenhaus Nordstadt - Haltenhoffstrasse 41 -30167 Hannover 1 - Deutschland. Fax (49.511) 970 1606.
Dr. Adolpho Carvalho Filho - Clínica Bambina 56/cobertura - 22251-050 Rio de Janeiro RJ - Brasil. Fax: (55.21) 266 6485.

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