Neurocirugía Neurocirugía
Neurocirugia 2006;17:495-518 - Vol. 17 Núm.6 DOI: 10.1016/S1130-1473(06)70314-1
Revisión del traumatismo craneoencefálico
Overview of nead injury
A. Bárcena-Orbe??, J.M. Cañizal-García, C. Mestre-Moreiro, J.C. Calvo- Pérez, A.F. Molina-Foncea, J. Casado-Gómez
Servicio de Neurocirugía. Hospital Universitario Central de la Defensa. Madrid
C.A. Rodríguez-Arias, B. Rivero-Martín**
* Servicio de Neurocirugía. Hospital General. Ciudad Real
** Servicio de Neurocirugía. Hospital Niño Jesús. Madrid
Recibido 20 marzo 2006, Aceptado 28 abril 2006
Resumen

En este artículo se ha realizado una revisión sistemática de los aspectos prácticos más destacables del manejo del traumatismo craneoencefálico en base a la literatura médica que hemos considerado relevante. El trabajo se ha desarrollado en diferentes apartados que comprenden la epidemiología, pronóstico y clasificación, anatomía patológica y fisiopatología, evaluación clínica y tratamiento. Se han tratado con especial énfasis las conexiones entre los rasgos fisiopatológicos con mayor grado de evidencia, de acuerdo con las guías de práctica clínica, y los esquemas de manejo terapéutico.

Summary

A systematic revision of the main practical aspects related with the head injury management has been made in this article on the basis of relevant literature. The paper has been developed in different sections consisting of epidemiological factors, prognosis and classification, neuropathology and pathophysiology, clinical evaluation and treatment. According to clinical guidelines, the connections between the pathophysiological features with higher evidence degree and the schemes of therapeutic approahes have been emphasized.

Abreviaturas
AVDL, AVDO2, BR, CEO2, cNOS, CSW, CTE, DAI, EVP, FSC, GPDH, HIC, iNOS, LOI, PAM, PtiO2, RLO
Key words
Head injury, Diffuse axonal injury, Brain metabolism, Guidelines, Brain infarction
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Bárcena-Orbe, A.; Rodríguez-Arias, C.A.; Rivero-Martín, B.; Cañizal-García, J.M.; Mestre-Moreiro, C.; Calvo- Pérez, J.C.; Molina-Foncea, A.F.; Casado-Gómez, J.: Revisión del traumatismo craneoencefálico. Neurocirugía 2006; 17: 495–518.

Correspondencia postal: Servicio de Neurocirugía. Hospital Central de la Defensa. Glorieta del ejército s/n. 28047 Madrid. (A. Bárcena-Orbe )
Copyright © 2006. Sociedad Española de Neurocirugía
Neurocirugia 2006;17:495-518 - Vol. 17 Núm.6 DOI: 10.1016/S1130-1473(06)70314-1