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Anesteziol Reanimatol · Jul 2013
[Dynamics of intracranial pressure in patients with massive ischemic stroke after decompressive craniotomy].
- A S Nikitin, S A Burov, S S Petrikov, S A Asratian, K M Gorshkov, and V V Krylov.
- Anesteziol Reanimatol. 2013 Jul 1 (4): 42-4.
AbstractThe goal of the study was assessment of the value of ICP monitoring in patients with massive ischemic stroke after decompressive craniotomy. 12 patients with massive ischemic stroke were performed ICP monitoring after decompressive craniotomy. We identified 3 types of ICP dynamics: a) normal ICP, which no need to treat; b) ICP elevation to 20 mm Hg and more in postoperative period, which can be treated by nonsurgical therapy; c) refractory to therapy ICP elevation to 20 mm Hg and more with development of intracranial hypertension. We consider that ICP monitoring in patients with massive ischemic stroke after decompressive craniotomy can be useful for optimization of the therapy and correction of intracranial hypertension.
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