Fenómenos de despolarización cortical propagada en los pacientes con lesiones cerebrales traumáticas e isquémicas. Resultados de un estudio piloto

M Sueiras; J Sahuquillo; B García-López; Á Sánchez-Guerrero; M A Poca; E Santamarina; M Riveiro; M Fabricius; A J Strong

doi:10.1016/j.medin.2013.09.008

Fenómenos de despolarización cortical propagada en los pacientes con lesiones cerebrales traumáticas e isquémicas. Resultados de un estudio piloto

M Sueiras, J Sahuquillo, B García-López, Á Sánchez-Guerrero, M A Poca, E Santamarina, M Riveiro, M Fabricius, A J Strong

1 Citationer (Scopus)

Abstract

OBJECTIVES: To determine the frequency and duration of cortical spreading depolarization (CSD) and CSD-like episodes in patients with traumatic brain injury (TBI) and malignant middle cerebral artery infarction (MMCAI) requiring craniotomy.

DESIGN: A descriptive observational study was carried out during 19 months.

SETTING: Neurocritical patients.

PATIENTS: Sixteen patients were included: 9 with MMCAI and 7 with moderate or severe TBI, requiring surgical treatment.

INTERVENTIONS: A 6-electrode subdural electrocorticographic (ECoG) strip was placed onto the perilesional cortex.

MAIN VARIABLES OF INTEREST: An analysis was made of the time profile and the number and duration of CSD and CSD-like episodes recorded from the ECoGs.

RESULTS: Of the 16 patients enrolled, 9 presented episodes of CSD or CSD-like phenomena, of highly variable frequency and duration.

CONCLUSIONS: Episodes of CSD and CSD-like phenomena are frequently detected in the ischemic penumbra and/or traumatic cortical regions of patients with MMCAI who require decompressive craniectomy or of patients with contusional TBI.

Bidragets oversatte titel	Cortical spreading depolarization phenomena in patients with traumatic and ischemic brain injuries. Results of a pilot study
Originalsprog	Spansk
Tidsskrift	Medicina intensiva / Sociedad Española de Medicina Intensiva y Unidades Coronarias
Vol/bind	38
Udgave nummer	7
Sider (fra-til)	413-21
Antal sider	9
DOI	https://doi.org/10.1016/j.medin.2013.09.008
Status	Udgivet - okt. 2014

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10.1016/j.medin.2013.09.008

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Sueiras, M., Sahuquillo, J., García-López, B., Sánchez-Guerrero, Á., Poca, M. A., Santamarina, E., Riveiro, M., Fabricius, M., & Strong, A. J. (2014). Fenómenos de despolarización cortical propagada en los pacientes con lesiones cerebrales traumáticas e isquémicas. Resultados de un estudio piloto. Medicina intensiva / Sociedad Española de Medicina Intensiva y Unidades Coronarias, 38(7), 413-21. https://doi.org/10.1016/j.medin.2013.09.008

Fenómenos de despolarización cortical propagada en los pacientes con lesiones cerebrales traumáticas e isquémicas. Resultados de un estudio piloto. / Sueiras, M; Sahuquillo, J; García-López, B et al.
I: Medicina intensiva / Sociedad Española de Medicina Intensiva y Unidades Coronarias, Bind 38, Nr. 7, 10.2014, s. 413-21.

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review

Sueiras, M, Sahuquillo, J, García-López, B, Sánchez-Guerrero, Á, Poca, MA, Santamarina, E, Riveiro, M, Fabricius, M & Strong, AJ 2014, 'Fenómenos de despolarización cortical propagada en los pacientes con lesiones cerebrales traumáticas e isquémicas. Resultados de un estudio piloto', Medicina intensiva / Sociedad Española de Medicina Intensiva y Unidades Coronarias, bind 38, nr. 7, s. 413-21. https://doi.org/10.1016/j.medin.2013.09.008

Sueiras M, Sahuquillo J, García-López B, Sánchez-Guerrero Á, Poca MA, Santamarina E et al. Fenómenos de despolarización cortical propagada en los pacientes con lesiones cerebrales traumáticas e isquémicas. Resultados de un estudio piloto. Medicina intensiva / Sociedad Española de Medicina Intensiva y Unidades Coronarias. 2014 okt.;38(7):413-21. doi: 10.1016/j.medin.2013.09.008

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title = "Fen{\'o}menos de despolarizaci{\'o}n cortical propagada en los pacientes con lesiones cerebrales traum{\'a}ticas e isqu{\'e}micas. Resultados de un estudio piloto",

abstract = "OBJECTIVES: To determine the frequency and duration of cortical spreading depolarization (CSD) and CSD-like episodes in patients with traumatic brain injury (TBI) and malignant middle cerebral artery infarction (MMCAI) requiring craniotomy.DESIGN: A descriptive observational study was carried out during 19 months.SETTING: Neurocritical patients.PATIENTS: Sixteen patients were included: 9 with MMCAI and 7 with moderate or severe TBI, requiring surgical treatment.INTERVENTIONS: A 6-electrode subdural electrocorticographic (ECoG) strip was placed onto the perilesional cortex.MAIN VARIABLES OF INTEREST: An analysis was made of the time profile and the number and duration of CSD and CSD-like episodes recorded from the ECoGs.RESULTS: Of the 16 patients enrolled, 9 presented episodes of CSD or CSD-like phenomena, of highly variable frequency and duration.CONCLUSIONS: Episodes of CSD and CSD-like phenomena are frequently detected in the ischemic penumbra and/or traumatic cortical regions of patients with MMCAI who require decompressive craniectomy or of patients with contusional TBI.",

author = "M Sueiras and J Sahuquillo and B Garc{\'i}a-L{\'o}pez and {\'A} S{\'a}nchez-Guerrero and Poca, {M A} and E Santamarina and M Riveiro and M Fabricius and Strong, {A J}",

year = "2014",

month = oct,

doi = "10.1016/j.medin.2013.09.008",

language = "Spansk",

volume = "38",

pages = "413--21",

journal = "Medicina intensiva / Sociedad Espa{\~n}ola de Medicina Intensiva y Unidades Coronarias",

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T1 - Fenómenos de despolarización cortical propagada en los pacientes con lesiones cerebrales traumáticas e isquémicas. Resultados de un estudio piloto

AU - Sueiras, M

AU - Sahuquillo, J

AU - García-López, B

AU - Sánchez-Guerrero, Á

AU - Poca, M A

AU - Santamarina, E

AU - Riveiro, M

AU - Fabricius, M

AU - Strong, A J

PY - 2014/10

Y1 - 2014/10

N2 - OBJECTIVES: To determine the frequency and duration of cortical spreading depolarization (CSD) and CSD-like episodes in patients with traumatic brain injury (TBI) and malignant middle cerebral artery infarction (MMCAI) requiring craniotomy.DESIGN: A descriptive observational study was carried out during 19 months.SETTING: Neurocritical patients.PATIENTS: Sixteen patients were included: 9 with MMCAI and 7 with moderate or severe TBI, requiring surgical treatment.INTERVENTIONS: A 6-electrode subdural electrocorticographic (ECoG) strip was placed onto the perilesional cortex.MAIN VARIABLES OF INTEREST: An analysis was made of the time profile and the number and duration of CSD and CSD-like episodes recorded from the ECoGs.RESULTS: Of the 16 patients enrolled, 9 presented episodes of CSD or CSD-like phenomena, of highly variable frequency and duration.CONCLUSIONS: Episodes of CSD and CSD-like phenomena are frequently detected in the ischemic penumbra and/or traumatic cortical regions of patients with MMCAI who require decompressive craniectomy or of patients with contusional TBI.

AB - OBJECTIVES: To determine the frequency and duration of cortical spreading depolarization (CSD) and CSD-like episodes in patients with traumatic brain injury (TBI) and malignant middle cerebral artery infarction (MMCAI) requiring craniotomy.DESIGN: A descriptive observational study was carried out during 19 months.SETTING: Neurocritical patients.PATIENTS: Sixteen patients were included: 9 with MMCAI and 7 with moderate or severe TBI, requiring surgical treatment.INTERVENTIONS: A 6-electrode subdural electrocorticographic (ECoG) strip was placed onto the perilesional cortex.MAIN VARIABLES OF INTEREST: An analysis was made of the time profile and the number and duration of CSD and CSD-like episodes recorded from the ECoGs.RESULTS: Of the 16 patients enrolled, 9 presented episodes of CSD or CSD-like phenomena, of highly variable frequency and duration.CONCLUSIONS: Episodes of CSD and CSD-like phenomena are frequently detected in the ischemic penumbra and/or traumatic cortical regions of patients with MMCAI who require decompressive craniectomy or of patients with contusional TBI.

U2 - 10.1016/j.medin.2013.09.008

DO - 10.1016/j.medin.2013.09.008

M3 - Tidsskriftartikel

C2 - 24342071

SN - 1578-6749

VL - 38

SP - 413

EP - 421

JO - Medicina intensiva / Sociedad Española de Medicina Intensiva y Unidades Coronarias

JF - Medicina intensiva / Sociedad Española de Medicina Intensiva y Unidades Coronarias

IS - 7

ER -

Fenómenos de despolarización cortical propagada en los pacientes con lesiones cerebrales traumáticas e isquémicas. Resultados de un estudio piloto

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