{"id":791,"date":"2021-03-07T20:01:04","date_gmt":"2021-03-07T19:01:04","guid":{"rendered":"https:\/\/neurocirugialmeria.com\/?p=791"},"modified":"2021-03-07T20:01:04","modified_gmt":"2021-03-07T19:01:04","slug":"descompresion-quirurgica-en-el-infarto-cerebral-maligno-metaanalisis-y-revision-literaria-de-ensayos-clinicos","status":"publish","type":"post","link":"https:\/\/neurocirugialmeria.com\/en\/2021\/03\/07\/descompresion-quirurgica-en-el-infarto-cerebral-maligno-metaanalisis-y-revision-literaria-de-ensayos-clinicos\/","title":{"rendered":"Descompresi\u00f3n quir\u00fargica en el infarto cerebral maligno: Metaanalisis y revisi\u00f3n literaria de ensayos cl\u00ednicos"},"content":{"rendered":"

Diferentes trabajos han mostrado la presencia de un beneficio de la cirug\u00eda de descompresi\u00f3n en infartos cerebrales con efecto de masa (infarto cerebral maligno). Sin embargo, existe a\u00fan cierta controversia respecto al timing en el que ha de tener lugar la intervenci\u00f3n as\u00ed como la franja de edad en la que ha de tener lugar el beneficio.<\/p>\n\n\n\n

El presente trabajo ha llevado a cabo el an\u00e1lisis de un total de 488 pacientes incluidos en 7 ensayos cl\u00ednicos relacionados con este asunto. Se objetivo de este modo que la cirug\u00eda descompresiva estaba asociada a una mayor supervivencia en pacientes en los que ten\u00eda lugar en las primeras 48 horas. Del mismo modo, no queda claro si este beneficio es extrapolable a pacientes ancianos.<\/p>\n\n\n\n

El metaan\u00e1lisis por tanto pone de manifiesto que existe un franco beneficio en la cirug\u00eda descompresiva  precoz en el infarto maligno tanto a la hora de aumentar la supervivencia como para obtener mejores resultados funcionales. Sin embargo, no est\u00e1 claro que tal beneficio sea extrapolable en aquellos casos tard\u00edos (de m\u00e1s de 48 horas de evoluci\u00f3n), as\u00ed como en pacientes ancianos.<\/p>\n\n\n\n

Fuente: <\/strong>Reinink H, J\u00fcttler E, Hacke W, Hofmeijer J, Vicaut E, Vahedi K, Slezins J, Su Y, Fan L, Kumral E, Greving JP, Algra A, Kappelle LJ, van der Worp HB, Neugebauer H. Surgical Decompression for Space-Occupying Hemispheric Infarction: A Systematic Review and Individual Patient Meta-analysis of Randomized Clinical Trials. JAMA Neurol. 2021 Feb 1;78(2):208-216.<\/a><\/p>","protected":false},"excerpt":{"rendered":"

Diferentes trabajos han mostrado la presencia de un beneficio de la cirug\u00eda de descompresi\u00f3n en infartos cerebrales con efecto de masa (infarto cerebral maligno). Sin embargo, existe a\u00fan cierta controversia respecto al timing en el que ha de tener lugar la intervenci\u00f3n as\u00ed como la franja de edad en la que ha de tener lugar…<\/p>","protected":false},"author":183523340,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[706700519,706700523,706700521,706700514,86215848,706700522,706700517],"tags":[],"class_list":["post-791","post","type-post","status-publish","format-standard","hentry","category-almeria","category-bionica","category-futurismo","category-neurocirugia","category-neuromodulacion","category-transhumanismo","category-zerotohero"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pbS7CP-cL","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/791","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/users\/183523340"}],"replies":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/comments?post=791"}],"version-history":[{"count":2,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/791\/revisions"}],"predecessor-version":[{"id":793,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/791\/revisions\/793"}],"wp:attachment":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/media?parent=791"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/categories?post=791"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/tags?post=791"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}