Bilateral cortical atrophy after severe brain trauma and extradural homatoma

• Autor(a) principal: Louzada,Paulo Roberto
• Data de Publicação: 2007
• Outros Autores: Vaitsman,Rafael Pereira, Souza,Arthur Borges Martins de, Coutinho,Pedro de Oliveira, Lengruber,Renata Teixeira, Neves,Francisco Weldes Brito das, Missaka,Herbert, Lima,Marco Aurélio Albuquerque, Salame,José Massoud
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Arquivos de neuro-psiquiatria (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2007000700029
• topic: 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.