Bilateral cortical atrophy after severe brain trauma and extradural homatoma.

نویسندگان

  • Paulo Roberto Louzada
  • Rafael Pereira Vaitsman
  • Arthur Borges Martins de Souza
  • Pedro de Oliveira Coutinho
  • Renata Teixeira Lengruber
  • Francisco Weldes Brito das Neves
  • Herbert Missaka
  • Marco Aurélio Albuquerque Lima
  • José Massoud Salame
چکیده

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.

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عنوان ژورنال:
  • Arquivos de neuro-psiquiatria

دوره 65 4B  شماره 

صفحات  -

تاریخ انتشار 2007