CC BY-NC-ND 4.0 · Arq Bras Neurocir 2018; 37(03): 231-234
DOI: 10.1055/s-0036-1572505
Case Report | Relato de Caso
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Decompressive Craniectomy for Viral Encephalitis: Two Case Reports

Article in several languages: English | português
Ricardo Lourenço Caramanti
1  Neurosurgery Service, Hospital Austa, São José do Rio Preto, SP, Brazil
,
Eduardo Cintra Abib
1  Neurosurgery Service, Hospital Austa, São José do Rio Preto, SP, Brazil
,
Dionei Freitas de Moraes
2  Department of Neurosurgery, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil
,
Eduardo Carlos da Silva
2  Department of Neurosurgery, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil
,
Carlos Eduardo D'Aglio Rocha
2  Department of Neurosurgery, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil
,
Fabiano Morais Nogueira
2  Department of Neurosurgery, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil
› Author Affiliations
Further Information

Publication History

29 September 2015

23 November 2015

Publication Date:
16 February 2016 (eFirst)

Abstract

A decompressive craniectomy is a therapeutic modality not commonly used in cases of refractory intracranial hypertension due to viral encephalitis. In this article the authors present two cases of patients with viral encephalitis that have undergone decompressive craniectomy to control intracranial pressure. Both evolved with Glasgow outcome score of 4. The main clinical data for the surgical decision are Glasgow coma scale and the pupils of the patient associated with the imaging tests showing a large necrotic area and perilesional edema. The evolution of the patients undergoing decompression was satisfactory in 92.3% of cases.