Bilateral cortical atrophy after severe brain trauma and extradural homatoma.
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.
Louzada
Paulo Roberto
PR
Serviço de Neurocirurgia, Hospital Municipal Souza Aguiar, Rio de Janeiro, RJ, Brazil. louzada2007@yahoo.com.br
Vaitsman
Rafael Pereira
RP
Souza
Arthur Borges Martins de
AB
Coutinho
Pedro de Oliveira
Pde O
Lengruber
Renata Teixeira
RT
Neves
Francisco Weldes Brito das
FW
Missaka
Herbert
H
Lima
Marco Aurélio Albuquerque
MA
Salame
José Massoud
JM
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