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Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2015; 34(01): 068-072
DOI: 10.1055/s-0035-1547390
Case Report | Relato de Caso
Thieme Publicações Ltda Rio de Janeiro, Brazil

Craniotomia descompressiva não osteoplástica na lesão difusa do tipo IV de Marshall − Relato de caso e discussão

Decompression Craniotomy not Osteoplastic in Diffuse Injury Type IV Marshall − Case Report and Discussion
Jefferson Rosi Junior
1   Neurocirurgião do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FM-USP) e do Conjunto Hospitalar do Mandaqui (CHM), São Paulo, SP, Brasil
,
Eberval Gadelha de Figueiredo
2   Professor da Divisão de Neurocirurgia do HC-FM-USP, São Paulo, SP, Brasil
,
Lucas Possatti
3   Médico residente em Neurocirurgia do CHM, São Paulo, SP, Brasil
,
Juliana Gozzo Sékula
4   Médica residente em Medicina Física e Reabilitação da Escola Paulista de Medicina, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil
,
Lin Tchia Yeng
5   Chefe do ambulatório de Dor em Fisiatria do HC-FM-USP, São Paulo, SP, Brasil
,
Manoel Jacobsen Teixeira
6   Professor Titular da Divisão de Neurocirurgia do HC-FM-USP, São Paulo, SP, Brasil
› Author Affiliations
Further Information

Publication History

31 October 2014

01 November 2014

Publication Date:
29 April 2015 (online)

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Resumo

Os autores apresentam um caso de tumefação encefálica difusa pós-traumática, em que a paciente em coma, com 6 pontos na escala de Glasgow e anisocórica, foi submetida à craniotomia descompressiva não osteoplástica, com resultado satisfatório e evolução para Glasgow de 15 pontos no sétimo pós-operatório.

Abstract

The authors show a patient with post traumatic encephalic swelling, with 6 points at Glasgow scale on admission. Decompressive craniectomy was performed and the patient has a good outcome, with 15 points at the Glasgow scale, seven days after the neurosurgery.

Palavras-chave

traumatismos encefálicos - tomografia computadorizada por raios X - neurocirurgia - hipertensão intracraniana - craniectomia descompressiva

Keywords

brain injuries - tomography X-ray computed - neurosurgery - intracranial hypertension - decompressive craniectomy
 

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