Síndrome de Wünderlich asociado a lupus eritematoso sistémico y síndrome antifosfolipídico

Se presenta el caso de un varón de 32 años de edad, con historia de dolor abdominal, anemia severa y confusión mental. Se le halló anemia ferropénica, hematomas perirrenales bilateral, microaneurismas de las arterias renales, trombosis venosa cerebral. Los estudios inmunológicos fueron positivos para anticuerpos antinucleares, anti Smith, anticoagulante lúpico, anti B2GP1 y anti cardiolipina, Se le trató con pulsos de metilprednisolona, con buena evolución clínica.

Hybrid Approach to Complex Stanford Type B Dissection: Unusual Extra-anatomical Bypass (Aorto-Celiac-Mesenteric Bypass) + Thoracic Endovascular Aortic Repair (TEVAR) + Cholecystectomy

Abstract Patients with complex Stanford type B aortic dissection are very difficult to treat. Many methods have been proposed so far in the treatment of these patients, and the emergence of hybrid techniques has made the treatment easier. In this article, we shared the extra-anatomical bypass (aorto-celiac-mesenteric bypass) + thoracic endovascular aortic repair + cholecystectomy operation technique applied to a patient with complex type B aortic dissection.

Analysis of puerperal hematoma: a retrospective study / Journal of Rural Medicine

Objective: To evaluate the characteristics and risk factors of puerperal hematoma.Materials and Methods: Data from the medical records of 2,776 women, who delivered vaginally between January 2008 and December 2017 in the authors’ hospital, were analyzed retrospectively.Results: Primigravida status was considered to be a significant risk factor. Among women with multigravida status, maternal age, instrumental delivery, and episiotomy were considered to be statistically significant risk factors. Regarding characteristics, hematoma occurred on the right side in 61.5% of cases, 53.8% were ≥50 mm in size, 61.5% were detected within 2 h of delivery, 46.2% were associated with severe pain, and 61.5% required surgical treatment.Conclusion: Primigravida status a risk factor for puerperal hematoma, and maternal age, instrumental delivery, and episiotomy were risk factors for puerperal hematoma in women with multigravida status. Puerperal hematomas occurred more frequently on the right side than the left reflected by the number of episiotomies performed on the right side. Approximately one-half of the hematomas were associated with severe pain, and many were detected within 2 h after delivery. Many hematomas, especially those associated with severe pain, required surgical removal.

Surgical Treatment of Traumatic Posterior Fossa Epidural Hematomas in Children : Reports in 17 Cases / 医学研究杂志

Objective To investigate the surgical indications and suigical procedures of traumatic posterior fossa epidural hematomas of 17 cases in children.Methods Clinical data of 17 children who admitted into our hospital from 2010 to 2015 with posterior fossa epidural hematomas were retrospectively reviewed.We summarized he surgical indications and operation selection of posterior fossa epidural hematomas in children.Results The suigical procedures of all patients in our group included the following:8 patients were treated with traditonal craniectomy,9 patients were treated with drilling skull plus urokinase.All patients recovered well after operation.Complications:hydrocephalus in 2 cases,epilepsy in 1 case.The outcome evaluated using the Glasgow outcome score(GOS) was good in 15 patients,mild disability in 1,severe disability in 1.Conclusion The clinical status of posterior fossa epidural hematoma can progress rapidly in children.It is crucial for early diagnosis and timely surgical intervention when it is indicated.In addition,the surgical procedures should be selected properly,the overall prognosis is excellent.

CT diagnosis of post-traumatic intrapulmonary hematoma / 实用放射学杂志

Objective To evaluate CT findings and dynamic changes of post-traumatic intrapulmonary hematoma.Methods CT data of 43 patients with traumatic intrapulmonary hematomas were analyzed retrospectively.Results A total of 52 lesions were found in 43 patients with intrapulmonary hematomas.The majority of hematomas were located in the peripheral lung fields close to the pleura,single or multiple in number.CT showed nodular,mass,fusiform,ribbon and irregular shadows with uniform and high density in lung.There are two types of evolution: (1) The hematomas gradually reduced in size and finally disappeared;(2)The hematomas evolved into gas-liquid cyst cavity or gas cyst cavity, and then was absorbed gradually.Conclusion CT examination is helpful in the early diagnosis of post-traumatic intrapulmonary hematomas, and can monitor the morphology changes over time.

Componentes principais das características de carcaças de bovinos anelorados e fontes de variação em lesões / Principal components of carcass characteristics in zebu cattle and variation factors for injuries

Objetivou-se levantar e avaliar os componentes principais das características de carcaças de bovinos anelorados e fontes de variação em lesões. Utilizou-se um banco de dados com informações de 15.002 carcaças de bovinos anelorados. As variáveis levantadas foram peso da carcaça quente, conformação da carcaça, escore de gordura subcutânea, condição sexual, número de dentes incisivos, lesões e distância percorrida da propriedade rural ao abatedouro. Também foi considerado o sistema de terminação dos bovinos por meio da comunicação pessoal do técnico responsável pelo rebanho. Para entender o relacionamento das variáveis descritas, utilizaram-se a correlação dos componentes principais e as variáveis originais, os planos fatoriais, o círculo unitário, a análise de cluster e testes não-paramétricos. O escore de gordura subcutânea, a condição sexual, o peso da carcaça quente, o número de dentes e a propriedade rural, compuseram 68,26% da variação total. A conformação das carcaças e o sistema de terminação explicaram uma baixa parcela da variabilidade. As variáveis: propriedade rural (distância percorrida), número de dentes incisivos, sistema de terminação e escore de gordura subcutânea, influenciaram o número de carcaças com lesões. A condição sexual, o peso da carcaça quente e a conformação da carcaça não alteraram a proporção de carcaças com lesões.

This study was made in order to evaluate the principal components of carcass characteristics in Zebu cattle and variation factors for injuries. We used a database with information from 15,002 carcasses of Zebu cattle. The variables studied were hot carcass weight, carcass conformation, fat thickness score, sexual condition, number of teeth, injuries and distance from the farm to the slaughterhouse. We also raised the finishing system of cattle through information obtained from the technician responsible for the herd. To understand the relationship of the variables, we used the correlation of the principal components and original variables, the factorial plans, the unit circle, cluster analysis and non-parametric tests. The fat thickness score, sexual condition, hot carcass weight, the number of teeth, and farm comprised 68.26% of the total variability. The carcasses conformation and the finishing system explained a low proportion of the variability. Variables as farm, number of teeth, finishing system and fat thickness score influenced the number of injuried carcasses. The sexual condition, hot carcass weight and carcass conformation did not change the proportion of injuried carcasses.

Evaluación de l mortalidad y de las lesiones taumáticas en pollo de engorde bbajo condiciones de sacrificio comercall / Evaluatio of morrtality and traumatic injres in broiler chickens under ccommercial slaughtering conditions

El objetivo de la presente investigación fue el de evaluar la mortalidad al arribo (DOA) y la presencia de lesiones traumáticas (hematomas y fracturas) en canales de aves de engorde. Se realizó un estudio prospectivo de las lesiones presentes en las canales de 622 lotes (n=248.800 aves) procesados en una planta de sacrificio comercial, durante los meses de junio, julio y agosto de 2011, de acuerdo con los criterios de la inspección sanitaria. La tasa de mortalidad de las aves fue 2.54 %. El 11.8 % (29.335/248.800) de las canales evaluadas presentó algún tipo de lesión. Los hematomas generalizados (32 %), la presencia de aves ahogadas (21.6 %) y los hematomas en las puntas de las alas (18.2 %), fueron las lesiones más frecuentes. Los resultados indican fallas en las prácticas de manejo relacionadas con el bienestar animal en el presacrificio, siendo necesario desarrollar investigaciones para conocer su impacto económico, así como el entrenamiento y la capacitación del personal vinculado en el proceso.

The objective of the present study was to evaluate mortality on arrival (DOA) and the presence of traumatic injures (bruises and fractures) in broilers channels. A prospective study of lesions present in channels of 622 sets (n=248,800 birds) processed in a commercial slaughterhouse was carried out during the months of June, July and August 2011 according to the sanitary inspection criteria. The mortality rate was 2.54 %. Lesions were found in 11.8 % (29.335/248.800) of channels inspected. Generalized bruises (32 %), drowned birds (21.6 %) and bruises on the tips of the wings were the most common injures. The results indicate failure in the handling practices related to animal welfare in pre-slaughter, being necessary to develop research to know their economic impact, as well as training of personnel involved in the process.

Arnica montana: una revisión bioquímica y homeopática / Arnica montana: A biochemical and homeopathic review

El Arnica montana es uno de los medicamentos que se emplean con mayor frecuencia en la práctica homeopática. Comúnmente, es la primera elección en la atención de traumatismos, contusiones y golpes, especialmente de partes blandas. También se emplea en torceduras, fracturas, esfuerzos exagerados, enfermedades reumáticas, traumas emocionales y para mejorar la recuperación de los pacientes que se someten a intervenciones quirúrgicas. Debido al interés que genera, el Arnica montana ha sido objeto de numerosos estudios en diferentes áreas para comprobar su alcance y determinar sus mecanismos de acción. A continuación se presenta una revisión de algunos artículos publicados sobre este medicamento; unos versan sobre sus principios activos y otros analizan diversos experimentos que se han efectuado.

Arnica montana is one of the most often used drugs in homeopathic practice. Commonly, it is the first choice in the trauma care, bruises and bumps, especially soft tissue. Also used in sprains, fractures, exaggerated efforts, rheumatic diseases and emotional trauma to improve recovery of patients who undergo surgery. Due to the interest generated, Arnica montana has been the subject of numerous studies in different areas to check their range and determine their mechanisms of action. Below is a review of some articles published on this medication, some deal with other active principles and discusses various experiments that have been conducted.

Clinical analysis of minimally invasive surgery and drug treatment for hypertensive cerebral hemorrhage / 重庆医学

Objective To compare the clinical efficacy of minimally invasive removal of intracranial hematomas and medical con-servative treatment for hypertensive cerebral hemorrhage .Methods A total of 75 patients with hypertensive cerebral hemorrhage were collected and randomly divided into two groups according to the treatments :38 patients treated with conservative medicine and 37 patients treated with minimally invasive removal of intracranial hematomas based on standard drug therapy .Neurological impair-ment and recovery of self-care ability of patients in both groups before and after three weeks and six weeks of treatment were scored by National Institute of Health Stroke Scale (NIHSS) .Changes of diffusion tensor imaging before treatment and after two weeks of treatment were evaluated by fractional anisotropy value (FA) .Results There was no significant difference between neurological im-pairments of the patients in two groups before treatment .But the recovery degree of functional impairment and muscle nerve in min-imally traumatic treatment group was more significant than those in the conservative medical treatment group after treatments . There was significant difference between two groups (P< 0 .05) .Conclusion Minimally traumatic of hematomas is an effective method of treating hypertensive intracerebral hemorrhage .

Diagnosis and treatment of massive bilateral chronic subdural hematoma in elderly patients by clinical analysis of 25 cases / 中国医师进修杂志

Objective To explore particularity of the diagnosis and treatment with massive bilateral chronic subdural hematoma (BCSDH) in elders.Method The clinical data of 25 elders with BCSDH treated in our hospital from 2007 to 2011 were analyzed retrospectively.All patients were examined with computerized tomography (CT) of 25 patients through the bilateral trephined hole.Results Twenty-four patients recovered better,the symptom significantly improved.After operative 1 month,14 patients? hematoma disappear,6 patents only had little bilateral subdural effusion,4 patents only had little unilateral subdural effusion.One patient appeared massive subdural effusion on the second day after operation,the familiality gave up therapy,and the patient was dead.Conclusion CT scanning should be taken before you make correct diagnisis.Bilateral single twist-drill craniostomy with irrigation and drainage is a chief method to massive BCSDH.

Neuropatía femoral y hematoma bilateral de músculos psoas-iliaco asociados a tratamiento con warfarina / Femoral neuropathy and bilateral hematoma: psoas-iliac muscles associated with a warfarin treatment

Se presentó un hombre de 70 años que sufrió un hematoma bilateral de los músculos psoas-iliacos como consecuencia del tratamiento con warfarina. Después de 6 d de tratamiento analgésico, valores de índice internacional normalizado inferiores a 1,5 y control del sangrado, se indicó la warfarina para continuar la profilaxis por la prótesis valvular mecánica. Fue egresado con secuelas motoras por la neuropatía femoral y se ha mantenido con tratamiento fisioterapéutico. Se diagnosticó neuropatía por compresión del nervio femoral, por hematoma de los músculos psoas-ilíacos. Los casos de hematomas retroperitoneales son escasos en la literatura médica, en Cuba no encontramos casos publicados...

This is the case of a man suffered of a bilateral hematoma of psoas-iliac muscles as a consequence of warfarin treatment. After 6 days od analgesic treatment, values of INR lower than 1,5 and bleeding control warfarin was prescribed to continue the prophylaxis by mechanical valvular prosthesis. He was discharged with motor sequelae due to femoral neuropathy maintained with a physiotherapy treatment. A neuropathy by compression of femoral nerve due to hematoma of psoas-iliac muscles was diagnosed. The cases of retroperitoneal hematomas are scarce in medical literature and in Cuba there were not published cases...

Our Experience with Surgically Treated Epidural Hematomas in Children

OBJECTIVE: Traumatic epidural hematomas (EDHs) in children are a relatively unusual occurrence. The cause and outcome vary depending on period and region of study. The aims of this analysis were to review the cause and outcome of pediatric EDHs nowadays and to discuss outcome-related variables in a large consecutive series of surgically treated EDH in children. METHODS: This is a retrospective review of 29 patients with surgically treated EDHs between Jan 2000 and February 2010. Patients' medical records, computed tomographic (CT) scans, and, if performed, magnetic resonance imaging (MRI) were reviewed to define variables associated with outcome. Variables included in the analysis were age, associated severe extracranial injury, abnormal pupillary response, hematoma thickness, severity of head injury (Glasgow Coma Scale score), parenchymal brain injury, and diffuse axonal injury. RESULTS: The mean (SD) age of the patients was 109 months (0-185 months). Most of the injuries with EDHs occurred in traffic accident (14 cases, 48.2%) and followed by slip down in 6 cases and falls in 6 cases. There were one birth injury and one unknown cause. EDHs in traffic accidents occurred in pedestrians hit by a motor vehicle, 9 cases; motorbike and car accidents, 5 cases and bicycle accidents, 1 case. The locations of hematoma were almost same in both sides (left side in 15 cases). Temporal lobe is the most common site of hematomas (13 cases, 44%). The mean size of the EDHs was 18 mm (range, 5-40 mm). Heterogeneous hematomas in CT scans were 20 cases (67%). Two patients were referred with unilateral or bilateral dilated pupil(s). There was enlargement of EDH in 5 patients (17%). All of them were heterogeneous hematomas in CT scans. Except for 4 patients, all EDHs were associated with skull fracture(s) (87%). There was no case of patient with major organ injury. CT or MRI revealed brain contusion in 5 patients, and diffuse axonal injury in one patient. The mortality was zero, and the outcomes were excellent in 26 and good in 2 patients. None of the tested variables were found to have a prognostic relevance. CONCLUSION: Regardless of the EDH size, the clinical status of the patients, the abnormal pupillary findings, or the cause of injury, the outcome and prognosis of the patients with EDH were excellent.

Our Experience with Surgically Treated Epidural Hematomas in Children

OBJECTIVE: Traumatic epidural hematomas (EDHs) in children are a relatively unusual occurrence. The cause and outcome vary depending on period and region of study. The aims of this analysis were to review the cause and outcome of pediatric EDHs nowadays and to discuss outcome-related variables in a large consecutive series of surgically treated EDH in children. METHODS: This is a retrospective review of 29 patients with surgically treated EDHs between Jan 2000 and February 2010. Patients' medical records, computed tomographic (CT) scans, and, if performed, magnetic resonance imaging (MRI) were reviewed to define variables associated with outcome. Variables included in the analysis were age, associated severe extracranial injury, abnormal pupillary response, hematoma thickness, severity of head injury (Glasgow Coma Scale score), parenchymal brain injury, and diffuse axonal injury. RESULTS: The mean (SD) age of the patients was 109 months (0-185 months). Most of the injuries with EDHs occurred in traffic accident (14 cases, 48.2%) and followed by slip down in 6 cases and falls in 6 cases. There were one birth injury and one unknown cause. EDHs in traffic accidents occurred in pedestrians hit by a motor vehicle, 9 cases; motorbike and car accidents, 5 cases and bicycle accidents, 1 case. The locations of hematoma were almost same in both sides (left side in 15 cases). Temporal lobe is the most common site of hematomas (13 cases, 44%). The mean size of the EDHs was 18 mm (range, 5-40 mm). Heterogeneous hematomas in CT scans were 20 cases (67%). Two patients were referred with unilateral or bilateral dilated pupil(s). There was enlargement of EDH in 5 patients (17%). All of them were heterogeneous hematomas in CT scans. Except for 4 patients, all EDHs were associated with skull fracture(s) (87%). There was no case of patient with major organ injury. CT or MRI revealed brain contusion in 5 patients, and diffuse axonal injury in one patient. The mortality was zero, and the outcomes were excellent in 26 and good in 2 patients. None of the tested variables were found to have a prognostic relevance. CONCLUSION: Regardless of the EDH size, the clinical status of the patients, the abnormal pupillary findings, or the cause of injury, the outcome and prognosis of the patients with EDH were excellent.

Evaluación terapéutica del producto homeopático arnica montana 200 CH en el tratamiento de los hematomas de causa traumática / Therapeutic evaluation of the product homeopathic arnica montana 200 CH in the treatment of bruises of traumatic cause

Son el resultado de la acción de determinados agentes externos capaces de actuar rápida e instantáneamente sobre el organismo, superando la resistencia de aquellos tejidos u órganos en los que directa o indirectamente recae su acción. Siendo una patología muy frecuente debido a la actual situación social y laboral (transporte, industria, deportes, etc).

Resultados de la aplicación del protocolo para el tratamiento hospitalario del trauma craneoencefálico en el adulto mayor / The application results of the protocol for the hospitable treatment of the cranio-encephalic trauma in adult

Fundamento: La elevada mortalidad del trauma craneoencefálico en el adulto mayor en el Servicio de Neurocirugía del Hospital Universitario Manuel Ascunce Domenech motivó el establecimiento de un protocolo para el tratamiento hospitalario específico en el paciente mayor de 60 años. Objetivo: evaluar los resultados de su aplicación en un grupo de pacientes. Método: Se realizó un estudio descriptivo, analítico en un grupo de 86 adultos mayores que sufrieron alguna variedad de la enfermedad que motivó su atención o ingreso en este servicio y a los cuales se les aplicó el citado protocolo entre marzo del 2008 a marzo del 2009. El análisis de tablas de contingencia y la Prueba Chi cuadrado permitió evaluar la posible asociación entre el factor y la variable dependiente. Resultados: Con la utilización de la craneotomía limitada a la evacuación de los hematomas yuxtadurales traumáticos agudos sobrevivieron 6 pacientes para el 40 por ciento, lo cual se consideró un resultado alentador. Se indicó tomografía axial computarizada de cráneo urgente a 57 pacientes (66,2 por ciento). A todos los pacientes con trauma craneoencefálico moderado y grave se les realizó el examen. La mayor parte de los pacientes con este tipo de trauma leve se trataron de manera ambulatoria sin necesidad del examen con resultados satisfactorios. Conclusiones: Con la aplicación del protocolo se logró la reducción significativa de la mortalidad por trauma craneoencefálico moderado y grave respecto al promedio histórico de la mortalidad por estos tipos de trauma y permitió la optimización de la tomografía axial computarizada en los pacientes con trauma craneoencefálico leve.

Foundation: The high mortality of the craneo-encephalic trauma (CET) in older adult in the Neurosurgery Service of the University Hospital Manuel Ascunce Domenech motivated the establishment of a protocol for the specific hospitable treatment of the CET in 60 years older patients. Objective: To evaluate the results of its application in a group of patients. Method: A descriptive, analytical study was realized in a 86 older adults group that underwent some CET variety that motivated their attention or entrance in the Neurosurgery Service, to which the mentioned protocol between March 2008 and March 2009 was applied to them. Results: The analysis of contingency tables and the Chi squared Test with a significance level of 0.05 allowed to evaluate the possible association between the factor and the dependant variable. With the use of the limited craniotomy to the evacuation of the acute traumatic yuxtadural hematoma, 6 patients for the 40 percent survived, considered as an encouraging result. In this serie 57 patients (66,2 percent) had an urgent cranio CAT indication. An examination was realized to all patients with moderate and serious CET. Most of the patients with lower CET were ambulatory treated without needing the examination with satisfactory results. Conclusions: With the protocol application the significant reduction of mortality by moderate and serious CET was obtained, taking into account the historical average of mortality by these types of CET and allowed the CAT optimization in patients with lower CET.

Fisiopatologia cirúrgica do hematoma putaminal / Putaminal hematoma: surgical pathophysiology

Os autores descrevem a fisiopatologia da hipertensão intracraniana relacionada aos hematomas putaminais espontâneos e a função da cirurgia no tratamento. O conhecimento da fisiopatologia desmistifica o resultado de muitas publicações prévias e torna óbvia a necessidade da operação nos casos em que se opta por tratar o paciente nos quais há hipertensão intracraniana.

The authors discuss the pathophysiology of the intracranial hypertension relative to putaminal or basal ganglia spontaneous hematomas. The role of the surgery is discussed. The current pathophysiological knowledge is strong enough to be the counterpart to the previous published statistical studies, becoming obvious the necessity of the surgical drainage when the patient is going to be treated and intracranial hypertension is present.

Muerte súbita de origen neuropatológicos: (II parte) / Sudden death of neuropathological origin: (Part II)

En la primera parte del presente artículo, en el número anterior de esta Revista, se discutió ampliamente el concepto de muerte súbita de origen neuropatológico. Tomando en cuenta el mismo, se realizó este análisis de las autopsias y reportes de neuropatología de 1998 al 2006 de la Sección de Patología Forense del Departamento de Medicina Legal para establecer las causas de muerte más frecuentes y el perfil epidemiológico de los fallecidos. Esto para recomendar aspectos útiles para el manejo este tipo de casos para el personal directamente involucrado. Después de revisar las causas de muerte de 23099 autopsias que se efectuaron en el período en estudio, 338 casos coincidieron con la definición propuesta de muerte súbita de origen neuropatológico y en términos generales hubo concordancia entre lo que se anota en la literatura mundial y lo que se ha presentado en nuestro país en el intervalo analizado.

In the first section of these report, on the previous edition of these magazine, it was discussed widely the concept of the neuropathological origen of the sudden death. Taking that preview this analysis was made from the autopsies and the neuropathological reports from 1998 to 2006 from the "Sección de Patología Forense" of costarican "Departamento de Medicina Legal" to establish the most frequent causes of death and the epidemiologic profile of the deceased. These to advice usefull aspects for the management of those cases by the involved staff. After reviewing the causes of death of 23099 autopsies made on the chosen period, 338 cases achived the definition of neuropathological sudden death proposed. In general there was found agreement between the findings on worldwide literature and the findings of our country during these period.

Immediate Postoperative Epidural Hematomas Adjacent to the Craniotomy Site

OBJECTIVE: The authors present eight cases of immediate post-operative epidural hematomas(EDHs) adjacent to the craniotomy site, describe clinical details of them, and discuss their pathogenesis. METHODS: Medical records of eight cases were retrospectively reviewed and their clinical data, operation records, and radiological findings analyzed. Any risk factors of the EDHs were searched. RESULTS: In 5 of 8 cases, adjacent EDHs developed after craniotomies for the surgical removal of brain tumors. Three cases of adjacent EDHs developed after a pterional approach and neck clipping of a ruptured anterior communicating artery aneurysm, a ventriculoperitoneal shunt, and a craniotomy for a post-traumatic EDH, respectively. In all eight cases, brain computed tomography (CT) scans checked immediately or a few hours after the surgery, revealed large EDHs adjacent to the previous craniotomy site, but there was no EDH beneath the previous craniotomy flap. After emergent surgical removal of the EDHs, 7 cases demonstrated good clinical outcomes, with one case yielding a poor result. CONCLUSION: Rapid drainage of a large volume of cerebrospinal fluid or intra-operative severe brain collapse may separate the dura from the calvarium and cause postoperative EDH adjacent to the previous craniotomy site. A high-pressure suction drain left in the epidural space may contribute to the pathogenesis. After the craniotomy for brain tumors or intracranial aneurysms, when remarkable brain collapse occurs, an immediate postoperative brain CT is mandatory to detect and adequately manage such unexpected events as adjacent EDHs.

Validez diagnóstica de la tomografía computarizada en hematomas intracraneanos / Diagnostic validity of computerized tomography in intracranial hematomas

Los hematomas intracraneales se han constituido en un común factor de morbilidad y mortalidad. Actualmente, con la tomografía computarizada, puede facilitarse su diagnóstico y hacer más eficiente y eficaz la evaluación terapéutica del paciente. Se usó diseño transversal y observacional para determinar la validez diagnóstica de la tomografía computarizada en hematomas intracraneanos. Se estudió una muestra de 48 pacientes operados de dicha patología y que contaran con estudio tomográfico previo. El diagnóstico tomográfico para hematoma intracraneal fue corroborado con el hallazgo quirúrgico en todos los casos, en cambio el diagnóstico clínico fue confirmado sólo en el 58,3 por ciento de ellos. Se encontró una sensibilidad y especificidad para la tomografía computarizada del 100 por ciento en los hematomas epidural y subdural, y del 91,7 por ciento y 97,2 por ciento respectivamente para los hematomas intracerebrales. La tomografía computarizada es un método de diagnóstico eficaz para hematomas intracraneales, incluyendo en el acortamiento del tiempo transcurrido desde el diagnóstico de la patología hasta su manejo quirúrgico y mejorando, de esta manera, la condición alta del paciente.