| Title: |
Continuous ventricular cerebrospinal fluid drainage with intracranial pressure monitoring for management of posttraumatic diffuse brain swelling |
| Authors: |
Andrade, Almir Ferreira de, Paiva, Wellingson Silva, Amorim, Robson Luis Oliveira de, Figueiredo, Eberval Gadelha, Almeida, Antonio Nogueira de, Brock, Roger Schmidt, Bor-Seng-Shu, Edson, Teixeira, Manoel Jacobsen |
| Source: |
Arquivos de Neuro-Psiquiatria. February 2011 69(1) |
| Publisher Information: |
Academia Brasileira de Neurologia - ABNEURO, 2011. |
| Publication Year: |
2011 |
| Subject Terms: |
decompressive craniectomy, intracranial pressure monitoring, head injury, brain swelling |
| More Details: |
BACKGROUND: Ventricular drainage has played an important role in the management of traumatic brain-injured patients. The aim of the present study was describe outcomes in a series of 57 patients with diffuse brain swelling underwent to intracranial pressure (ICP) monitoring. METHOD: Fifty-eight patients with diffuse posttraumatic brain swelling, were evaluated prospectively. The Glasgow Coma Scale (GCS) scores of patients varied from 4 to 12. Patients groups divided according to GCS and age. Patient neurological assessment was classified as favorable, unfavorable, and death. RESULTS: Mechanisms of injury were vehicle accidents in 72.4% and falls in 15.6%. 54% of patients had GCS scores between 6 and 8. There were no statistical differences, regarding outcome, between groups separated by age. In the adults group (n=47), 44.7% evolved favorably. CONCLUSION: Our results indicate a poor prognosis in patients with brain swelling. We believe that continuous ventricular CSF drainage with ICP monitoring is a simple method as an adjunct in the management of these patients. |
| Document Type: |
article |
| File Description: |
text/html |
| Language: |
English |
| ISSN: |
0004-282X |
| DOI: |
10.1590/S0004-282X2011000100016 |
| Access URL: |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000100016 |
| Rights: |
info:eu-repo/semantics/openAccess |
| Accession Number: |
edssci.S0004.282X2011000100016 |
| Database: |
SciELO |
