En el mundo existe actualmente un marcado aumento de enfermedades no transmisibles como la hipertensión, la diabetes y la obesidad, las que conllevan eventos fatales como el Infarto Maligno de la Arteria Cerebral Media. En el Perú es poco usual lograr realizar intervenciones tempranas que permitan acciones rápidas como una trombolisis, retrasándose el manejo al paciente y convirtiendo a la craniectomía descompresiva en la alternativa terapéutica más adecuada. Sin embargo, los resultados funcionales a corto y mediano plazo aún son controversiales y van a depender de las características clínico-epidemiológicas que garanticen un aceptable pronóstico funcional y vida adecuada. El presente trabajo busca describir la experiencia de un servicio de Neurocirugía del Hospital Cayetano Heredia, con el fin de reconocer en la población demandante, sus características epidemiológicas y...

Introduction: Head trauma is one of the main causes of death in Peru. Medical and surgical therapy during the initial stages of severe head trauma focus in preventing the elevation of intracranial pressure. Objective: To describe the associated characteristics and main complications in patients undergoing decompressive craniectomy. Methods: This is a retrospective observational study performed between February 2018 and July 2020 in patients who had been admitted because of head trauma and who had undergone unilateral decompressive craniectomy. Results: Two-thirds (66.7%) of patients were persons less than 40 years of age; 87.5% were males; 16.7% were admitted with Glasgow Coma Score (GCS) scores between 13 and 15; 37.5% were admitted with GCS between 9 and 12; 42.9% had asymmetric pupils; 33.3% were admitted because of traffic accidents; 21.7% were Marshall II, 65.2% were Marshall III, a...

Introduction: Head trauma is one of the main causes of death in Peru. Medical and surgical therapy during the initial stages of severe head trauma focus in preventing the elevation of intracranial pressure. Objective: To describe the associated characteristics and main complications in patients undergoing decompressive craniectomy. Methods: This is a retrospective observational study performed between February 2018 and July 2020 in patients who had been admitted because of head trauma and who had undergone unilateral decompressive craniectomy. Results: Two-thirds (66.7%) of patients were persons less than 40 years of age; 87.5% were males; 16.7% were admitted with Glasgow Coma Score (GCS) scores between 13 and 15; 37.5% were admitted with GCS between 9 and 12; 42.9% had asymmetric pupils; 33.3% were admitted because of traffic accidents; 21.7% were Marshall II, 65.2% were Marshall III, a...