RESUMO
El trauma craneoencefálico es una de las principales causas de muerte en el mundo, y gran parte de estos se asocian a heridas por arma de fuego en cráneo. Conocer el manejo, las características y fisiopatología de la lesión nos permitirá saber abordar estos casos cuando se presenten a los diferentes centros asistenciales, al tiempo que nos permitirá tener en cuenta las posibles complicaciones, para evitar su aparición y así buscar mejorar la morbilidad por esta causa. Siempre acompañado de un manejo integral que permita abarcar todas las dimensiones afectadas.
Traumatic brain injury is a of the leading causes of death in the world, and many of these are associated with gunshot wounds in the skull. To know management the characteristics and pathophysiology of the lesion will tell as deal with these cases when presented to medical centers, while enabling us to take into account of possible complications, to prevent its occurrence and so try to improve morbidity from this cause. Always accompanied by an integrated management that can encompass all affected dimensions.
Assuntos
Humanos , Masculino , Traumatismos Craniocerebrais/cirurgia , Traumatismos Craniocerebrais/complicações , Traumatismos Craniocerebrais/fisiopatologia , Traumatismos Craniocerebrais/líquido cefalorraquidiano , Traumatismos Craniocerebrais/mortalidade , Traumatismos Cranianos Penetrantes/classificação , Ferimentos por Arma de Fogo , Craniotomia , Diagnóstico por Imagem , Fístula , Pressão IntracranianaRESUMO
In this study, 212 patients with post-traumatic cerebrospinal fluid [CSF] rhinorrhea were evaluated shortly [within few hours] after head trauma, they were arranged into two groups [A and B]. It was concluded that in post-traumatic CSF rhinorrhea whenever possible, the repair of the dura [during early surgical intervention for another emergency intracranial lesions] gives an excellent chance for clean healing of the dura-arachnoid tear with subsequently less incidence of complications and CSF leak. Otherwise, conservative management including minimally invasive procedures can achieve spontaneous sealing of the fistulae in a high percentage of patients. Trans- sphenoidal approach is another less invasive procedure that reduces the overall number of craniotomies for the treatment of persistent CSF rhinorrhea