managementul chirurgical al stroke-ului hemoragic de fosa craniana ...
managementul chirurgical al stroke-ului hemoragic de fosa craniana ...
managementul chirurgical al stroke-ului hemoragic de fosa craniana ...
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Atitudinea <strong>de</strong> prima intentie este <strong>de</strong>pen<strong>de</strong>nta <strong>de</strong> gravitatea semnelor <strong>de</strong><br />
suferinta a trunchi<strong>ului</strong> cerebr<strong>al</strong> dupa ruptura anevrism<strong>al</strong>a, <strong>de</strong> prezenta<br />
hematoamelor compresive si <strong>de</strong> gravitatea vasospasm<strong>ului</strong> clinic si<br />
angiografic, precum si <strong>de</strong> prezenta semnelor <strong>de</strong> hidrocef<strong>al</strong>ie acuta.<br />
Embolizarea si/sau ocluzia cu b<strong>al</strong>on sunt rezervate cazurilor grave care<br />
nu permit abodul chirugic<strong>al</strong> <strong>de</strong>schis, cu scopul opririi sursei <strong>de</strong> sangerare<br />
si prevenirii re-rupturii. Ragazul <strong>de</strong> timp castigat in eventu<strong>al</strong>itatea unei<br />
interventii <strong>de</strong> succes, permite echilibrarea pacient<strong>ului</strong>.<br />
Hidrocef<strong>al</strong>ia acuta beneficiaza <strong>de</strong> DVE si monitorizare PIC, dar fara sa<br />
elimine riscul re-rupturii.<br />
Decizia pentru interventie neuro<strong>chirurgic<strong>al</strong></strong>a <strong>de</strong>schisa este formulata<br />
intot<strong>de</strong>auna in functie <strong>de</strong> particularitatea fiecarui caz. ( varsta,starea<br />
neurologica a pacient<strong>ului</strong>, loc<strong>al</strong>izarea anevrism<strong>ului</strong>, posibilitatile tehnice<br />
<strong>al</strong>e servici<strong>ului</strong>, experienta chirurg<strong>ului</strong>, dorinta familiei).
Change language