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Published on: June 21, 2019
Bilateral cortical atrophy after severe brain trauma and extradural homatoma
Paulo Roberto Louzada1, Rafael Pereira Vaitsman, Arthur Borges Martins de Souza
1Serviço de Neurocirurgia, Hospital Municipal Souza Aguiar, Rio de Janeiro, RJ, Brazil. louzada2007@yahoo.com.br
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.
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