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Scientific Notes • Arq. Neuro-Psiquiatr. 65 (4b) • Dec 2007 • https://doi.org/10.1590/S0004-282X2007000700029 linkcopy

Open-access Bilateral cortical atrophy after severe brain trauma and extradural homatoma

Atrofia cortical bilateral após traumatismo cranioencefálico grave e hematoma extradural

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    Abstracts

    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.

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

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