title: Bilateral cortical atrophy after severe brain trauma and extradural homatoma.
abstract: 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.
authors.affiliation: Serviço de Neurocirurgia, Hospital Municipal Souza Aguiar, Rio de Janeiro, RJ, Brazil. louzada2007@yahoo.com.br
authors.forename: Paulo Roberto
authors.initials: PR
authors.lastname: Louzada
authors.forename: Rafael Pereira
authors.initials: RP
authors.lastname: Vaitsman
authors.forename: Arthur Borges Martins de
authors.initials: AB
authors.lastname: Souza
authors.forename: Pedro de Oliveira
authors.initials: Pde O
authors.lastname: Coutinho
authors.forename: Renata Teixeira
authors.initials: RT
authors.lastname: Lengruber
authors.forename: Francisco Weldes Brito das
authors.initials: FW
authors.lastname: Neves
authors.forename: Herbert
authors.initials: H
authors.lastname: Missaka
authors.forename: Marco Aurélio Albuquerque
authors.initials: MA
authors.lastname: Lima
authors.forename: José Massoud
authors.initials: JM
authors.lastname: Salame
mesh_terms: D000328:Adult; D001284:Atrophy / Q000209:etiology / Q000601:surgery; D002540:Cerebral Cortex / Q000473:pathology* / Q000601:surgery; D006259:Craniocerebral Trauma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D017809:Fatal Outcome; D015600:Glasgow Coma Scale; D006407:Hematoma, Epidural, Cranial / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed