Craniectomía descompresiva en infarto maligno de la arteria cerebral media: evidencia clínica
Craniectomía descompresiva en infarto maligno de la arteria cerebral media: evidencia clínica
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El infarto maligno de la arteria cerebral media representa entre 5 a 10% de los pacientes con enfermedad vascular cerebral isquémica, conllevando una alta mortalidad y discapacidad funcional. Para su tratamiento ha sido utilizada la craniectomía descompresiva en un grupo selecto de pacientes. En este escrito es revisada la literatura referente a la efectividad de este procedimiento. Adicionalmente, son recopiladas las recomendaciones basadas en la evidencia para la elección meticulosa y racional de los potenciales candidatos a esta cirugía. Rev.cienc.biomed.2011; 2 (2): 281-288
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