| Autor: |
Louzada PR; Serviço de Neurocirurgia, Hospital Municipal Souza Aguiar, Rio de Janeiro, RJ, Brazil. louzada2007@yahoo.com.br, Vaitsman RP, Souza AB, Coutinho Pde O, Lengruber RT, Neves FW, Missaka H, Lima MA, Salame JM |
| Jazyk: |
angličtina |
| Zdroj: |
Arquivos de neuro-psiquiatria [Arq Neuropsiquiatr] 2007 Dec; Vol. 65 (4B), pp. 1237-40. |
| DOI: |
10.1590/s0004-282x2007000700029 |
| Abstrakt: |
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. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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