Bilateral cortical atrophy after severe brain trauma and extradural hematoma

作者：Louzada Paulo Roberto^*; Vaitsman Rafael Pereira; Martins de Souza Arthur Borges; Coutinho Pedro de Oliveira; Lengruber Renata Teixeira; Brito das Neves Francisco Weldes; Missaka Herbert; Albuquerque Lima Marco Aurelio; Salame Jose Massoud

来源：Arquivos de Neuro-Psiquiatria, 2007, 65(4B): 1237-1240.

DOI：10.1590/S0004-282X2007000700029

• brain atrophy
• extradural hematoma
• epidural hematoma
• severe head injury
• secondary injury

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.

• 出版日期2007-12