Post-Operative Management for Craniotomy Decompression in Cerebral Edema Patients Due to Cerebral Infarction in The Right Carotic System which Occurred Cerebral Vasospasm

Radian Ahmad Halimi; Ardi Zulfariansyah

doi:10.47353/jsocmed.v3i4.143

Post-Operative Management for Craniotomy Decompression in Cerebral Edema Patients Due to Cerebral Infarction in The Right Carotic System which Occurred Cerebral Vasospasm

Radian Ahmad Halimi
Intensive Care Trainee, Faculty of Medicine, Padjadjaran University / Hasan Sadikin General Hospital Bandung
Ardi Zulfariansyah
Intensive Care Consultant, Faculty of Medicine, Padjadjaran University / Hasan Sadikin General Hospital Bandung

Abstract

Introduction: Cerebral infarction accompanied by brain edema is a life-threatening condition and requires decompression craniectomy to overcome increased intracranial pressure (ICP). Comprehensive post-operative management using non-invasive transcranial doppler (TCD) monitoring and Near Infrared Spectroscopy (NIRS) is a modality for conducting management in the intensive room (ICU).

Case Report: We reported the case of a 56-year-old man diagnosed with cerebral edema due to stroke infarction of the right carotid system accompanied by comorbidities of coronary heart disease with a heart ejection fraction of 31.6% performed craniectomy decompression. The patient was treated for 12 days in intensive care and then transferred to a semi-intensive room

Conclusion: This case highlights the importance of using TCD and NIRS in the intensive care unit as guiding therapies in maintaining patient blood pressure, administering blood components, and early detection of complications such as cerebral vasospasm.

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Published at

23. April 2024
https://doi.org/10.47353/jsocmed.v3i4.143
Issue:

Vol. 3 No. 4 (2024): April
Section:

Articles
Keywords:

Cerebral edema NIRS TCD Vasospasm
References:

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Halimi, R. A., & Zulfariansyah, A. (2024). Post-Operative Management for Craniotomy Decompression in Cerebral Edema Patients Due to Cerebral Infarction in The Right Carotic System which Occurred Cerebral Vasospasm. Journal of Society Medicine, 3(4), 89–97. https://doi.org/10.47353/jsocmed.v3i4.143