Acidente Vascular Cerebral Isquêmico com Efeito de Massa

Autores

  • Roberto de Magalhães Carneiro de Oliveira Neurologista do Setor de Doenças Neurovasculares da Disciplina de Neurologia da Escola Paulista de Medicina – Unifesp. Neurologista do Setor de Urgências do Complexo Hospitalar São Luiz

DOI:

https://doi.org/10.34024/rnc.2000.v8.8935

Palavras-chave:

Infarto hemisférico, efeito de massa, tratamento

Resumo

Os infartos cerebrais hemisféricos extensos são responsáveis por evolução desfavorável na maioria dos casos de acidente vascular cerebral. Apresentamos uma revisão sobre os mecanismos envolvidos nos infartos cerebrais com grande efeito de massa, os métodos disponíveis para um diagnóstico precoce e para a monitorização adequada e as alternativas de tratamento.

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Referências

Silver FL, Norris JW, Lewis AJ, Hachinski VC. Early mortality following stroke: a prospective review. Stroke, 15: 492-6, 1984.

Ropper AH. Lateral displacement of the brain and level of consciousness in patients with na acute hemispheral mass. N Engl J Med, 314:953-8, 1986.

Heinsius T, Bogousslavsky J, Van Melle G. Large infarcts in the middle cerebral artery territory. Etiology and outcome patterns. Neurology, 50:341-50, 1998.

Krieger DW, Demchuk AM, Kasner SE, Jauss M, Hantson L. Early clinical and radiological predictors of fatal brain swelling in ischemic stroke. Stroke, 30:287-92, 1999.

Hacke W, Schwab S, Horn M, Spranger M, De Georgia M, von Kummer R. Malignant middle cerebral artery territory infarction: clinical course and prognostic signs. Arch Neurol, 53:309-15, 1996.

Bingaman WE, Frank JI. Malignant cerebral edema and intracranial hypertension. Neurol Clin, 13:479-509, 1995.

Von Kummer R, Allen KL, Holle R, Bozzao L, Bastianello S, Manelfe C, Bluhmki E, Ringleb P, Meier DH, Hacke W. Acute stroke: usefulness of early CT findings before thrombolytic therapy. Radiology, 205:327-33, 1997.

Büttner T, Uffmann M, Günes N, Köster O. Early CCT signs of supratentorial brain infarction: clinico-radiological correlations. Acta Neurol Scand, 96:317-23, 1997.

Kucinski T, Koch C, Grzyska U, Freitag HJ, Krömer H, Zeumer H. The preditive value of early CT and angiography for fatal hemispheric swelling in acute stroke. Am J Neuroradiol, 19:839-46, 1998.

Unger E, Littlefield J, Gado N. Water content and water structure in CT and MR signal changes: possible influence in detection of early stroke. Am J Neuroradiol, 9:687-91, 1988.

Schlaug G, Sieewrt B, Benfield A, Edelman RR, Warach S. Time course of the apparent diffusion coeficient (ADC) abnormality in human stroke. Neurology, 49:113-9, 1997.

Sorensen AG, Buonanno FS, Gonzalez RG, Schwamm LH, Lev MH, Huang Hellinger FR, Reese TG, Weisskoff RM, Davis TL, Suwanwela N, Can U, Moreira JA, Copen WA, Look RB, Finklestein SP, Rosen BR, Koroshetz WJ. Hyperacute stroke: evaluation with combined mutisection diffusion-weighted and hemodinamically weighted echo-planar MR imaging. Radiology, 199:391-401, 1996.

Warach S, Gaa J, Siewart B, Wiclopolski P, Edelman RR. Acute human stroke studied by whole brain echoplanar diffusion-weighted magnetic resonance imaging. Ann Neurol, 37:231-41, 1995.

Van Everdingen KJ, van der Grond J, Kappelle LJ, Ramos LMP, Mali WPTM. Diffusion-weighted magnetic resonance imaging in acute stroke. Stroke, 29:1783-90, 1998.

Schwab S, Aschoff A, Spranger M, Albert F, Hacke W. The value of intracranial pressure monitoring in acute hemispheric stroke. Neurology, 47:393-8, 1996.

Ropper AH, O’Rourke D, Kennedy SK. Head position, intracranial pressure, and compliance. Neurology, 32: 1288-91, 1982.

Wijdicks EFM, Scott JP. Causes and outcome of mechanical ventilation in patients with hemispheric ischemic stroke. Mayo Clin Proc, 72:210-3, 1997.

Schwab S, Schwarz S, Spranger M, Keller E, Bertram M, Hacke W. Moderate hypothermia in the treatment of patients with severe middle cerebral artery infarction. Stroke, 29:2461-6, 1998.

Stringer WA, Hasso NA, Thompson JR, Hinshaw DB, Jordan KG. Hyperventilation-induced cerebral ischemia in patients with acute brain lesions: demonstration by xenon-enhaced CT. Am J Neuroradiol, 14:475-84, 1993.

Meyer JS, Charney JZ, Rivera VM, Mathew NT. Treatment with glycerol of cerebral edema due to acute cerebral infarction. Lancet, 7732:993-7, 1971.

Schwab S, Spranger M, Schwarz S, Hacke W. Barbiturate coma in severe hemispheric stroke: useful or obsolete? Neurology, 48:1608-13, 1997.

Kondziolka D, Fazl M. Functional recovery after decompressive craniectomy for cerebral infarction. Neurosurgery, 23:143-7, 1988.

Delashaw JB, Broaddus WC, Kassell NF, Haley EC, Pendleton GA, Vollmer DG, Maggio WW, Grady MS. Treatment of right cerebral infarction by hemicraniectomy. Stroke, 21:874-81, 1990.

Schwab S, Steiner T, Aschoff A, Schwarz S, Steiner HH, Jansen O, Hacke W. Early hemicraniectomy in patients with complete middle cerebral artery infarction. Stroke, 29:1888-93, 1998.

Mathew P, Teasdale G, Bannan A, Oluoch-Olunya D. Neurosurgical management of cerebellar haematoma and infarct. J Neurol Neurosurg Psychyatry, 59:287-92, 1995.

Chen HJ, Lee TC, Wei CP. Treatment of cerebellar infarction by decompressive suboccipital craniectomy. Stroke, 23:957-61, 1992.

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Publicado

2000-09-30

Como Citar

Oliveira, R. de M. C. de. (2000). Acidente Vascular Cerebral Isquêmico com Efeito de Massa. Revista Neurociências, 8(3), 86–97. https://doi.org/10.34024/rnc.2000.v8.8935

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Artigos Originais
Recebido em 2019-02-01
Publicado em 2000-09-30

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