Navegando por Palavras-chave "brain edema"

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    Abordagem estereotáxica guiada por imagem de lesões do sistema nervoso central: precisão diagnóstica, morbidade, mortalidade
    (Academia Brasileira de Neurologia - ABNEURO, 1999-09-01) Hisatugo, Marcelo Ken-iti; Stávale, João Norberto [UNIFESP]; Bidó, José Orlando; Ferraz, Fernando Patriani [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    We studied seventy-five patients with brain lesions biopsied by stereotaxis from March 1993 to December 1998 at Universidade Federal de São Paulo (UNIFESP) - Escola Paulista de Medicina. The three most frequent lesions were: metastasis, low grade astrocytomas and glioblastoma multiforme. The morbidity rate was 2.66% due to: one case of scalp infection in a patient with thalamic cyst; and a partial seizure during surgery in a patient with lynphoma. The mortality rate was 1.33% due to increasing of cerebral edema after biopsy and the patient died after one week. The diagnostic accuracy was 89.33%.
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    REGIONAL COOLING FOR REDUCING BRAIN TEMPERATURE AND INTRACRANIAL PRESSURE
    (Assoc Arquivos Neuro- Psiquiatria, 2009-06-01) Forte, Luis Vicente [UNIFESP]; Peluso, Cassio Morano [UNIFESP]; Prandini, Mirto Nelso [UNIFESP]; Godoy, Roberto; Rojas, Salomon Soriano Ordinola; Hosp Sao Joaquim; Hosp Meridional; Universidade Federal de São Paulo (UNIFESP)
    Objective: To evaluate the effectiveness of regional cooling for reducing brain temperature (BrTe) and intracranial pressure (ICP) in patients where conventional clinical treatment has failed. Method: Regional cooling was carried out using ice bags covering the area of the craniectomy (regional method) in 23 patients. The BrTe and ICP were determined using a fiber optic sensor. Thirteen patients (56.52%) were female. The ages ranged from 16 to 83 years (mean of 48.9). The mean APACHE II score was 25 points (11-35). The patients were submitted, on mean, to 61.7 hours (20-96) of regional cooling. Results: There was a significant reduction in mean BrTe (p<0.0001-from 37.1 degrees C to 35.2 degrees C) and mean ICP (p=0.0001-from 28 mmHg to 13 mmHg). Conclusion: Our results suggest that mild brain hypothermia induced by regional cooling was effective in the control of ICP in patients who had previously undergone decompressive craniectomy.