دورية أكاديمية
Infarto cerebelar: análise de 151 pacientes Cerebellar infarction: analysis of 151 patients
| العنوان: | Infarto cerebelar: análise de 151 pacientes Cerebellar infarction: analysis of 151 patients |
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| المؤلفون: | Jefferson Rosi Jr, Paulo Geraldo Dorsa de Oliveira, Antônio Carlos Montanaro, Sidney Gomes, Roberto Godoy |
| المصدر: | Arquivos de Neuro-Psiquiatria, Vol 64, Iss 2b, Pp 456-460 (2006) |
| بيانات النشر: | Academia Brasileira de Neurologia (ABNEURO), 2006. |
| سنة النشر: | 2006 |
| المجموعة: | LCC:Neurosciences. Biological psychiatry. Neuropsychiatry |
| مصطلحات موضوعية: | infarto cerebelar, hidrocefalia, craniectomia descompressiva, drenagem ventricular, cerebellar infarction, hydrocephalus, decompressive craniectomy, ventricular drainage, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571 |
| الوصف: | Este estudo apresenta o tratamento de 151 pacientes com infarto cerebelar, sendo 98 homeNs (65%) e 53 mulheres (35%), com média de idade de 62,4 anos. Hidrocefalia obstrutiva foi diagnosticada em 7,9% dos pacientes associada com um infarto cerebelar extenso e em todos os 11 pacientes operados (7,2%). Quatro pacientes foram submetidos a derivação ventricular externa com 3 óbitos (75%) e 7 foram submetidos a craniectomia descompressiva suboccipital com 2 óbitos (28,5%). A mortalidade no grupo clínico foi de 15 pacientes (10,7%). Vertigem, vômito, sinal de Romberg e dismetria foram os sinais e sintomas de envolvimento cerebelar mais frequentemente observados. Infarto cerebelar devido a embolismo provocado por cirurgia cardiovascular ocorreu em 57 pacientes (37,7%).Infarto cerebelar como fato isolado ocorreu em 59 pacientes (39%) e infartos cerebelares associados a infartos de outras regiões ocorreram em 92 pacientes (61%). A ressonância magnética foi o melhor método para o diagnóstico das lesões, embora a tomografia pôde mostrar infarto cerebelar em 68 pacientes (78%).This report presents the treatment of 151 patients with cerebellar infarction, 98 men (65%) and 53 women (35%), mean age 62.4 years old. Occlusive hydrocephalus was diagnosed in 7.9% of the patients associated with an extensive cerebellar infarction and in all 11 surgical patients (7.2%). Four patients underwent an external ventricular drainage with 3 deaths (75%) and 7 underwent a decompressive suboccipital craniectomy with 2 deaths (28.5%). Mortality of the clinical group was 15 patients (10.7%). Vertigo, vomiting, Romberg sign and dysmetria were the signs and symptoms of cerebellar involvement that were more frequentely observed. Cerebellar infarction from embolism after cardiovascular surgery occurred in 57 patients (37.7%).Cerebellar infarction, as a isolated fact, occurred in 59 patients (39%) and cerebellar plus infarction in other regions occurred in 92 patients (61%). Magnetic resonance image was the best diagnostic form for cerebellar lesions, however computerized tomography could show cerebellar infarction in 68 patients (78%). |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 0004-282X 1678-4227 |
| العلاقة: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2006000300020Test; https://doaj.org/toc/0004-282XTest; https://doaj.org/toc/1678-4227Test |
| DOI: | 10.1590/S0004-282X2006000300020 |
| الوصول الحر: | https://doaj.org/article/7686bce29e6445cd9c53ef4891e8b0baTest |
| رقم الانضمام: | edsdoj.7686bce29e6445cd9c53ef4891e8b0ba |
| قاعدة البيانات: | Directory of Open Access Journals |
| تدمد: | 0004282X 16784227 |
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| DOI: | 10.1590/S0004-282X2006000300020 |