Bilateral cortical atrophy after severe brain trauma and extradural homatoma
Arq. neuropsiquiatr
;
65(4b): 1237-1240, dez. 2007. ilus
Article
Dans Anglais
| LILACS
| ID: lil-477779
ABSTRACT
We report the case of a severe head injured 43-year old male patient with a large extradural hematoma, Glasgow Coma Scale 3 and dilated fixed pupils. Patient was promptly submitted to surgical evacuation of the lesion, but remained in persistent vegetative state in the post-operative time. Head computed tomography scans performed before surgery, and at early and late post-operative periods comparatively revealed extreme bilateral cortical atrophy. Late consequences of severe head trauma drastically affect the prognosis of patients, being its prevention, and neuroprotection against secondary injury still a therapeutical challenge for neurosurgeons.
RESUMO
Relatamos o caso de um paciente de 43 anos, com traumatismo cranioencefálico grave, com grande hematoma extradural, Escala de Coma de Glasgow 3 e pupilas fixas e dilatadas. O paciente foi prontamente submetido à evacuação cirúrgica da lesão mas permaneceu em estado vegetativo persistente no período pós-operatório. As TC de crânio realizadas antes da cirurgia e nos períodos pós-operatórios precoce e tardio revelaram comparativamente extrema atrofia cerebral bilateral. As conseqüências tardias do traumatismo craniano grave afetam drasticamente o prognóstico dos pacientes, sendo sua prevenção, e a neuroproteção contra a injúria secundária ainda um desafio terapêutico para os neurocirurgiões.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Cortex cérébral
/
Traumatismes cranioencéphaliques
/
Hématome épidural intracrânien
Type d'étude:
Etude diagnostique
/
Etude d'étiologie
/
Étude pronostique
Limites du sujet:
Adulte
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Arq. neuropsiquiatr
Thème du journal:
Neurologie
/
Psychiatrie
Année:
2007
Type:
Article
Pays d'affiliation:
Brésil
Institution/Pays d'affiliation:
Hospital Municipal Souza Aguiar/BR
/
Instituto Nacional de Câncer/BR
/
Universidade Federal Fluminense/BR
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