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Role, Effectiveness, and Outcome of Decompressive Craniectomy for Cerebral Venous and Dural Sinus Thrombosis (CVST): Is Surgery Really an Option?
Mohamed, Mohamed Wael F; Aung, Su Sandi; Mereddy, Nakul; Ramanan, Sruthi Priyavadhana; Hamid, Pousette.
Afiliação
  • Mohamed MWF; Neurological Surgery, Royal London Hospital, London, GBR.
  • Aung SS; Medicine and Surgery, University of Medicine 1, Yangon, MMR.
  • Mereddy N; Medicine and Surgery, Bhaskar Medical College, Hyderabad, IND.
  • Ramanan SP; Medicine and Surgery, Saveetha Medical College, Chennai, IND.
  • Hamid P; Neurology, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.
Cureus ; 12(12): e12135, 2020 Dec 17.
Article em En | MEDLINE | ID: mdl-33489547
ABSTRACT
Cerebral venous and dural sinus thrombosis (CVST) is predominantly a disease of young people. It accounts for 0.5% of all strokes, and patients usually have good outcomes. However, a minority of patients may present with elevated intracranial pressure characteristics in a serious illness type and may die from brain herniation if not treated promptly. Decompressive craniectomy (DC) is the only treatment modality that can prevent death in such cases of imminent brain herniation. Unfortunately, due to the condition's rarity and ethical concerns, randomized controlled trials are not available. This review assessed the available literature on cerebral venous and dural sinus thrombosis in different age groups and decompressive craniectomy in cerebral venous and dural sinus thrombosis. It revealed that decompressive surgery is extremely effective when done early and for the correct indications with patients achieving excellent functional outcomes post-surgery. Decompressive surgery is recommended in rapidly deteriorating patients with computed tomography (CT) scan evidence of basal cisterns effacement, a mass effect from haemorrhage and/or infarction, and significant midline shift.
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Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Clinical_trials Idioma: En Revista: Cureus Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Clinical_trials Idioma: En Revista: Cureus Ano de publicação: 2020 Tipo de documento: Article