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 | |
| Status | Udgivet - okt. 2014 |
Fingeraftryk
Dyk ned i forskningsemnerne om 'Fenómenos de despolarización cortical propagada en los pacientes con lesiones cerebrales traumáticas e isquémicas. Resultados de un estudio piloto'. Sammen danner de et unikt fingeraftryk.Citationsformater
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