Decompressive Craniectomy in Posterior Fossa Ischemic Stroke
Author(s)
Luciano Santana-Cabrera*,
Guillermo Pérez-Acosta,
Cristina Rodríguez-Escot,
Rosa Lorenzo-Torrent,
Manuel Sánchez-Palacios
Affiliation(s)
Intensive Care Unit, Insular Universitary Hospital of Gran Canaria, Las Palmas of Gran Canaria, Spain. South maritime avenue n/n.Las Palmas of Gran Canaria. Canary Islands. Spain. Postal Code: 35016. Intensive Care Unit, Insular Universitary Hospital of Gran Canaria, Las Palmas of Gran Canaria, Spain. South maritime avenue n/n. Las Palmas of Gran Canaria. Canary Islands. Spain. Postal Code: 35016.. Intensive Care Unit, Insular Universitary Hospital of Gran Canaria, Las Palmas of Gran Canaria, Spain. South maritime avenue n/n. Las Palmas of Gran Canaria. Canary Islands. Spain. Postal Code: 35016.
Intensive Care Unit, Insular Universitary Hospital of Gran Canaria, Las Palmas of Gran Canaria, Spain. South maritime avenue n/n.Las Palmas of Gran Canaria. Canary Islands. Spain. Postal Code: 35016. Intensive Care Unit, Insular Universitary Hospital of Gran Canaria, Las Palmas of Gran Canaria, Spain. South maritime avenue n/n. Las Palmas of Gran Canaria. Canary Islands. Spain. Postal Code: 35016.. Intensive Care Unit, Insular Universitary Hospital of Gran Canaria, Las Palmas of Gran Canaria, Spain. South maritime avenue n/n. Las Palmas of Gran Canaria. Canary Islands. Spain. Postal Code: 35016.
ABSTRACT
Ischemic damage produced in the posterior cerebral territory causes significant morbidity and urgently must be considered if the patient need a surgical attitude. Surgical decompression by suboccipital craniectomy seams to be effective to treat secondary edema due to cerebellar damage or in posterior fossa, when medical treatment is not able to control side effects. We report a clinical case of a patient with a subacute ischemic infarction in the vertebro-basilar territory, with perilesional edema, and a posterior fossa decompressive craniectomy (DC) was carried out.
Ischemic damage produced in the posterior cerebral territory causes significant morbidity and urgently must be considered if the patient need a surgical attitude. Surgical decompression by suboccipital craniectomy seams to be effective to treat secondary edema due to cerebellar damage or in posterior fossa, when medical treatment is not able to control side effects. We report a clinical case of a patient with a subacute ischemic infarction in the vertebro-basilar territory, with perilesional edema, and a posterior fossa decompressive craniectomy (DC) was carried out.
KEYWORDS
Decompressive Craniectomy; Posterior Fossa; Suboccipital Craniectomy; Vertebrobasilar Insufficiency
Decompressive Craniectomy; Posterior Fossa; Suboccipital Craniectomy; Vertebrobasilar Insufficiency
Cite this paper
L. Santana-Cabrera, G. Pérez-Acosta, C. Rodríguez-Escot, R. Lorenzo-Torrent and M. Sánchez-Palacios, "Decompressive Craniectomy in Posterior Fossa Ischemic Stroke," International Journal of Clinical Medicine, Vol. 3 No. 4, 2012, pp. 302-303. doi: 10.4236/ijcm.2012.34059.
L. Santana-Cabrera, G. Pérez-Acosta, C. Rodríguez-Escot, R. Lorenzo-Torrent and M. Sánchez-Palacios, "Decompressive Craniectomy in Posterior Fossa Ischemic Stroke," International Journal of Clinical Medicine, Vol. 3 No. 4, 2012, pp. 302-303. doi: 10.4236/ijcm.2012.34059.
References
[1] Kumral E, Bayulkem G, Atac C, Alper Y. Spectrum of posterior cerebral artery surface infartcs Territory. Eur J Neurol. 2004, 11:237-46. [2] Kudo H, Kawaguchi T, Minami H, Kuwamura K, Miyata M, Kohmura E. Controversy of surgical Treatment for severe cerebellar infarction. J Stroke Cerebrovasc Dis. 2007, 16:259-62. [3] Lungu G, J Mortada, Stilhart B. Surgical Treatment of cerebellar infarction: Five case studies. Neurochirurgie. 2010, 56:59-62. [4] Tsitsopoulos PP, Tobi-eson L, Enblad P, Marklund N. Following surgical outcome Clinical Treatment for bilateral cerebellar infarction. Acta Neurol Scand. 2011, 123:345-51. [5] Jüttler E, Schweickert S, Ringleb PA, Huttner HB, Kohrmann M, Aschoff A. Long-term outcome after surgical Treatment for space-occupying cerebellar infarction: experience in 56 Patients. Stroke. 2009, 40:3060-6.
[1] Kumral E, Bayulkem G, Atac C, Alper Y. Spectrum of posterior cerebral artery surface infartcs Territory. Eur J Neurol. 2004, 11:237-46. [2] Kudo H, Kawaguchi T, Minami H, Kuwamura K, Miyata M, Kohmura E. Controversy of surgical Treatment for severe cerebellar infarction. J Stroke Cerebrovasc Dis. 2007, 16:259-62. [3] Lungu G, J Mortada, Stilhart B. Surgical Treatment of cerebellar infarction: Five case studies. Neurochirurgie. 2010, 56:59-62. [4] Tsitsopoulos PP, Tobi-eson L, Enblad P, Marklund N. Following surgical outcome Clinical Treatment for bilateral cerebellar infarction. Acta Neurol Scand. 2011, 123:345-51. [5] Jüttler E, Schweickert S, Ringleb PA, Huttner HB, Kohrmann M, Aschoff A. Long-term outcome after surgical Treatment for space-occupying cerebellar infarction: experience in 56 Patients. Stroke. 2009, 40:3060-6.