Bilateral cortical atrophy after severe brain trauma and extradural homatoma

Arquivos de Neuro-Psiquiatria

Paulo Roberto Louzada²  Rafael Pereira Vaitsman¹  Arthur Borges Martins De Souza¹  Pedro De Oliveira Coutinho¹  Renata Teixeira Lengruber¹  Francisco Weldes Brito Das Neves¹  Herbert Missaka¹  Marco Aurélio Albuquerque Lima¹  José Massoud Salame¹ 

[1] ,Hospital Municipal Souza Aguiar Serviço de Neurocirurgia Rio de Janeiro RJ ,Brazil

关键词: brain atrophy;    extradural hematoma;    epidural hematoma;    severe head injury;    secondary injury;    atrofia cerebral;    hematoma extradural;    hematoma epidural;    traumatismo craniano grave;    injúria secundária;   

DOI  :  10.1590/S0004-282X2007000700029

来源: SciELO

【 摘 要 】

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.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License