{"id":6647,"date":"2026-04-16T13:54:11","date_gmt":"2026-04-16T10:54:11","guid":{"rendered":"https:\/\/wiki.dev.voka.io\/glossary\/craniectomia-descompressiva\/"},"modified":"2026-05-04T16:13:21","modified_gmt":"2026-05-04T13:13:21","slug":"craniectomia-descompressiva","status":"publish","type":"glossary_item","link":"https:\/\/wiki.dev.voka.io\/pt\/glossario\/craniectomia-descompressiva\/","title":{"rendered":"Craniectomia descompressiva"},"content":{"rendered":"\n<p>Craniectomia descompressiva (do lat. <em>de-<\/em> \u2014 remo\u00e7\u00e3o, <em>compressio<\/em> \u2014 compress\u00e3o e do gr. <em>kranion<\/em> \u2014 cr\u00e2nio, <em>ektome<\/em> \u2014 excis\u00e3o) \u2014 \u00e9 uma opera\u00e7\u00e3o radical e salva-vidas na neurocirurgia. <\/p>\n\n<p>Consiste na remo\u00e7\u00e3o de uma ampla por\u00e7\u00e3o \u00f3ssea da ab\u00f3bada craniana e na sec\u00e7\u00e3o da duram\u00e1ter para aliviar a press\u00e3o intracraniana cr\u00edtica.<\/p>\n\n<h2 class=\"wp-block-heading\" id=\"h-&#x44D;&#x442;&#x438;&#x43E;&#x43B;&#x43E;&#x433;&#x438;&#x44F;-&#x438;-&#x43F;&#x430;&#x442;&#x43E;&#x444;&#x438;&#x437;&#x438;&#x43E;&#x43B;&#x43E;&#x433;&#x438;&#x44F;\"><strong>Etiologia e fisiopatologia<\/strong><\/h2>\n\n<p>A cavidade craniana de um adulto \u00e9 uma estrutura \u00f3ssea r\u00edgida e n\u00e3o distens\u00edvel de volume constante. Em caso de les\u00e3o grave, desenvolve-se edema maci\u00e7o do tecido cerebral ou forma-se um grande hematoma. De acordo com as leis da f\u00edsica, o aumento do volume de tecidos em um espa\u00e7o fechado leva a um aumento catastr\u00f3fico da press\u00e3o intracraniana.<\/p>\n\n<p>Quando os m\u00e9todos conservadores (coma medicamentoso, medicamentos para redu\u00e7\u00e3o de edema) deixam de funcionar, o c\u00e9rebro come\u00e7a a deslocar-se para as aberturas naturais do cr\u00e2nio, onde est\u00e1 localizado o tronco cerebral que controla a respira\u00e7\u00e3o e os batimentos card\u00edacos. Para prevenir essa compress\u00e3o fatal, o cirurgi\u00e3o cria artificialmente espa\u00e7o adicional. Removendo um grande retalho \u00f3sseo (geralmente frontal-parietal-temporal), o m\u00e9dico permite que o c\u00e9rebro inchado se desloque para a \u00e1rea do defeito realizado, al\u00e9m dos contornos do cr\u00e2nio, assim salvando as estruturas do tronco de traumatiza\u00e7\u00f5es secund\u00e1rias. A subsequente redu\u00e7\u00e3o da PIC leva \u00e0 estabiliza\u00e7\u00e3o da press\u00e3o de perfus\u00e3o e \u00e0 preven\u00e7\u00e3o de altera\u00e7\u00f5es isqu\u00eamicas secund\u00e1rias dos tecidos cerebrais.<\/p>\n\n<h2 class=\"wp-block-heading\" id=\"h-&#x43A;&#x43B;&#x438;&#x43D;&#x438;&#x447;&#x435;&#x441;&#x43A;&#x43E;&#x435;-&#x437;&#x43D;&#x430;&#x447;&#x435;&#x43D;&#x438;&#x435;\"><strong>Import\u00e2ncia cl\u00ednica<\/strong><\/h2>\n\n<p>Esta opera\u00e7\u00e3o \u00e9 considerada uma medida de \u00faltimo recurso e \u00e9 realizada exclusivamente por indica\u00e7\u00f5es vitais quando os tratamentos conservadores da HIP n\u00e3o s\u00e3o eficazes. A interven\u00e7\u00e3o permite a r\u00e1pida normaliza\u00e7\u00e3o da irriga\u00e7\u00e3o sangu\u00ednea cerebral e a redu\u00e7\u00e3o da press\u00e3o intracraniana.<\/p>\n\n<p>Ap\u00f3s a remo\u00e7\u00e3o, o pr\u00f3prio retalho \u00f3sseo do paciente \u00e9 temporariamente conservado (colocado em um banco de congelamento especial ou suturado sob o aponeurose na regi\u00e3o abdominal do paciente). Ap\u00f3s a cirurgia, o c\u00e9rebro \u00e9 protegido apenas pelo retalho de tecido mole (couro cabeludo). Meses depois, quando o edema desaparece completamente e o paciente se recupera, \u00e9 realizado o segundo est\u00e1gio da cirurgia \u2014 cranioplastia (reposi\u00e7\u00e3o do osso ou instala\u00e7\u00e3o de um implante de tit\u00e2nio) para restaurar a est\u00e9tica e proteger o \u00f3rg\u00e3o.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Craniectomia descompressiva (do lat. <em>de-<\/em> \u2014 remo\u00e7\u00e3o, <em>compressio<\/em> \u2014 compress\u00e3o e do gr. <em>kranion<\/em> \u2014 cr\u00e2nio, <em>ektome<\/em> \u2014 excis\u00e3o) \u2014 \u00e9 uma opera\u00e7\u00e3o radical e salva-vidas na neurocirurgia. <\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-6647","glossary_item","type-glossary_item","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v26.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Craniectomia descompressiva: defini\u00e7\u00e3o m\u00e9dica e vis\u00e3o geral | Voka Wiki<\/title>\n<meta name=\"description\" content=\"Craniectomia descompressiva (do lat. de- \u2014 remo\u00e7\u00e3o, compressio \u2014 compress\u00e3o e do gr. kranion \u2014 cr\u00e2nio, ektome \u2014 excis\u00e3o) \u2014 \u00e9 uma opera\u00e7\u00e3o radical e salva-vidas na neurocirurgia.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Craniectomia descompressiva\" \/>\n<meta property=\"og:description\" content=\"Craniectomia descompressiva (do lat. de- \u2014 remo\u00e7\u00e3o, compressio \u2014 compress\u00e3o e do gr. kranion \u2014 cr\u00e2nio, ektome \u2014 excis\u00e3o) \u2014 \u00e9 uma opera\u00e7\u00e3o radical e salva-vidas na neurocirurgia.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/wiki.dev.voka.io\/pt\/glossario\/craniectomia-descompressiva\/\" \/>\n<meta property=\"og:site_name\" content=\"Voka Wiki\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" \/>\n<meta property=\"article:modified_time\" content=\"2026-05-04T13:13:21+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Tempo estimado de leitura\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/wiki.dev.voka.io\/pt\/glossario\/craniectomia-descompressiva\/\",\"url\":\"https:\/\/wiki.dev.voka.io\/pt\/glossario\/craniectomia-descompressiva\/\",\"name\":\"Craniectomia descompressiva: defini\u00e7\u00e3o m\u00e9dica e vis\u00e3o geral | Voka Wiki\",\"isPartOf\":{\"@id\":\"https:\/\/wiki.dev.voka.io\/pt\/#website\"},\"datePublished\":\"2026-04-16T10:54:11+00:00\",\"dateModified\":\"2026-05-04T13:13:21+00:00\",\"description\":\"Craniectomia descompressiva (do lat. de- \u2014 remo\u00e7\u00e3o, compressio \u2014 compress\u00e3o e do gr. kranion \u2014 cr\u00e2nio, ektome \u2014 excis\u00e3o) \u2014 \u00e9 uma opera\u00e7\u00e3o radical e salva-vidas na neurocirurgia.\",\"breadcrumb\":{\"@id\":\"https:\/\/wiki.dev.voka.io\/pt\/glossario\/craniectomia-descompressiva\/#breadcrumb\"},\"inLanguage\":\"pt-PT\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/wiki.dev.voka.io\/pt\/glossario\/craniectomia-descompressiva\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/wiki.dev.voka.io\/pt\/glossario\/craniectomia-descompressiva\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/wiki.dev.voka.io\/pt\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Gloss\u00e1rio\",\"item\":\"https:\/\/wiki.dev.voka.io\/pt\/glossario\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Craniectomia descompressiva\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/wiki.dev.voka.io\/pt\/#website\",\"url\":\"https:\/\/wiki.dev.voka.io\/pt\/\",\"name\":\"Voka Wiki\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/wiki.dev.voka.io\/pt\/#organization\"},\"alternateName\":\"Anatomy & Pathology Wiki by VOKA\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/wiki.dev.voka.io\/pt\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-PT\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/wiki.dev.voka.io\/pt\/#organization\",\"name\":\"Voka 3D Anatomy & Pathology\",\"alternateName\":\"VOKA\",\"url\":\"https:\/\/wiki.dev.voka.io\/pt\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-PT\",\"@id\":\"https:\/\/wiki.dev.voka.io\/pt\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/wiki.dev.voka.io\/wp-content\/uploads\/2025\/02\/cropped-voka-logo-1.png\",\"contentUrl\":\"https:\/\/wiki.dev.voka.io\/wp-content\/uploads\/2025\/02\/cropped-voka-logo-1.png\",\"width\":70,\"height\":16,\"caption\":\"Voka 3D Anatomy & Pathology\"},\"image\":{\"@id\":\"https:\/\/wiki.dev.voka.io\/pt\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\",\"https:\/\/www.instagram.com\/voka.io\/\",\"https:\/\/www.linkedin.com\/company\/voka-io\/\",\"https:\/\/www.youtube.com\/channel\/UCqGGuOEpr62ScH8Pjk2q5zw\/videos\",\"https:\/\/www.pinterest.com\/VokaAnatomyPro\/\",\"https:\/\/www.threads.com\/@voka.io\"],\"description\":\"VOKA.io offers 3D medical animations and custom 3D modeling services. Our product, VOKA 3D Anatomy & Pathology, is a digital atlas with over 1,000 detailed 3D models of human anatomy and pathology, designed for medical education, training, and patient communication.\",\"email\":\"info@voka.io\",\"telephone\":\"+1 814 351 4442\",\"legalName\":\"Voka 3D Anatomy & Pathology\",\"foundingDate\":\"2017-02-12\",\"naics\":\"541512\",\"numberOfEmployees\":{\"@type\":\"QuantitativeValue\",\"minValue\":\"51\",\"maxValue\":\"200\"},\"publishingPrinciples\":\"https:\/\/wiki.voka.io\/pt\/principios-de-publicacao\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Craniectomia descompressiva: defini\u00e7\u00e3o m\u00e9dica e vis\u00e3o geral | Voka Wiki","description":"Craniectomia descompressiva (do lat. de- \u2014 remo\u00e7\u00e3o, compressio \u2014 compress\u00e3o e do gr. kranion \u2014 cr\u00e2nio, ektome \u2014 excis\u00e3o) \u2014 \u00e9 uma opera\u00e7\u00e3o radical e salva-vidas na neurocirurgia.","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"pt_PT","og_type":"article","og_title":"Craniectomia descompressiva","og_description":"Craniectomia descompressiva (do lat. de- \u2014 remo\u00e7\u00e3o, compressio \u2014 compress\u00e3o e do gr. kranion \u2014 cr\u00e2nio, ektome \u2014 excis\u00e3o) \u2014 \u00e9 uma opera\u00e7\u00e3o radical e salva-vidas na neurocirurgia.","og_url":"https:\/\/wiki.dev.voka.io\/pt\/glossario\/craniectomia-descompressiva\/","og_site_name":"Voka Wiki","article_publisher":"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/","article_modified_time":"2026-05-04T13:13:21+00:00","twitter_card":"summary_large_image","twitter_misc":{"Tempo estimado de leitura":"2 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/wiki.dev.voka.io\/pt\/glossario\/craniectomia-descompressiva\/","url":"https:\/\/wiki.dev.voka.io\/pt\/glossario\/craniectomia-descompressiva\/","name":"Craniectomia descompressiva: defini\u00e7\u00e3o m\u00e9dica e vis\u00e3o geral | Voka Wiki","isPartOf":{"@id":"https:\/\/wiki.dev.voka.io\/pt\/#website"},"datePublished":"2026-04-16T10:54:11+00:00","dateModified":"2026-05-04T13:13:21+00:00","description":"Craniectomia descompressiva (do lat. de- \u2014 remo\u00e7\u00e3o, compressio \u2014 compress\u00e3o e do gr. kranion \u2014 cr\u00e2nio, ektome \u2014 excis\u00e3o) \u2014 \u00e9 uma opera\u00e7\u00e3o radical e salva-vidas na neurocirurgia.","breadcrumb":{"@id":"https:\/\/wiki.dev.voka.io\/pt\/glossario\/craniectomia-descompressiva\/#breadcrumb"},"inLanguage":"pt-PT","potentialAction":[{"@type":"ReadAction","target":["https:\/\/wiki.dev.voka.io\/pt\/glossario\/craniectomia-descompressiva\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/wiki.dev.voka.io\/pt\/glossario\/craniectomia-descompressiva\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/wiki.dev.voka.io\/pt\/"},{"@type":"ListItem","position":2,"name":"Gloss\u00e1rio","item":"https:\/\/wiki.dev.voka.io\/pt\/glossario\/"},{"@type":"ListItem","position":3,"name":"Craniectomia descompressiva"}]},{"@type":"WebSite","@id":"https:\/\/wiki.dev.voka.io\/pt\/#website","url":"https:\/\/wiki.dev.voka.io\/pt\/","name":"Voka Wiki","description":"","publisher":{"@id":"https:\/\/wiki.dev.voka.io\/pt\/#organization"},"alternateName":"Anatomy & Pathology Wiki by VOKA","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/wiki.dev.voka.io\/pt\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pt-PT"},{"@type":"Organization","@id":"https:\/\/wiki.dev.voka.io\/pt\/#organization","name":"Voka 3D Anatomy & Pathology","alternateName":"VOKA","url":"https:\/\/wiki.dev.voka.io\/pt\/","logo":{"@type":"ImageObject","inLanguage":"pt-PT","@id":"https:\/\/wiki.dev.voka.io\/pt\/#\/schema\/logo\/image\/","url":"https:\/\/wiki.dev.voka.io\/wp-content\/uploads\/2025\/02\/cropped-voka-logo-1.png","contentUrl":"https:\/\/wiki.dev.voka.io\/wp-content\/uploads\/2025\/02\/cropped-voka-logo-1.png","width":70,"height":16,"caption":"Voka 3D Anatomy & Pathology"},"image":{"@id":"https:\/\/wiki.dev.voka.io\/pt\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/","https:\/\/www.instagram.com\/voka.io\/","https:\/\/www.linkedin.com\/company\/voka-io\/","https:\/\/www.youtube.com\/channel\/UCqGGuOEpr62ScH8Pjk2q5zw\/videos","https:\/\/www.pinterest.com\/VokaAnatomyPro\/","https:\/\/www.threads.com\/@voka.io"],"description":"VOKA.io offers 3D medical animations and custom 3D modeling services. Our product, VOKA 3D Anatomy & Pathology, is a digital atlas with over 1,000 detailed 3D models of human anatomy and pathology, designed for medical education, training, and patient communication.","email":"info@voka.io","telephone":"+1 814 351 4442","legalName":"Voka 3D Anatomy & Pathology","foundingDate":"2017-02-12","naics":"541512","numberOfEmployees":{"@type":"QuantitativeValue","minValue":"51","maxValue":"200"},"publishingPrinciples":"https:\/\/wiki.voka.io\/pt\/principios-de-publicacao\/"}]}},"_links":{"self":[{"href":"https:\/\/wiki.dev.voka.io\/pt\/wp-json\/wp\/v2\/glossary_item\/6647","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wiki.dev.voka.io\/pt\/wp-json\/wp\/v2\/glossary_item"}],"about":[{"href":"https:\/\/wiki.dev.voka.io\/pt\/wp-json\/wp\/v2\/types\/glossary_item"}],"wp:attachment":[{"href":"https:\/\/wiki.dev.voka.io\/pt\/wp-json\/wp\/v2\/media?parent=6647"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}