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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los hematomas epidurales constituyen una de las complicaciones m&#225;s frecuentes de los traumatismos craneales&#46; Los hematomas bilaterales son muy poco frecuentes&#44; se asocian a traumatismos de gran intensidad y se acompa&#241;an de una elevada mortalidad&#46;</p> <span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Analizar los 6 casos de hematoma epidural bilateral &#40;HEB&#41; tratados en los &#250;ltimos 24 a&#241;os que representan el 2&#46;5&#37; de todos los hematomas epidurales intervenidos quir&#250;rgicamente en el mismo per&#237;odo de tiempo&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La serie esta formada por 5 varones y 1 mujer con una edad media de 32&#46;6 a&#241;os &#40;rango 16&#8211;55&#41;&#46; Cl&#237;nicamente todos presentaban disminuci&#243;n del nivel de consciencia&#46; En 3 pacientes el hematoma sobrepasaba la l&#237;nea media&#44; y en los otros 3 las localizaciones eran diversas&#46; Se apreci&#243; fractura de cr&#225;neo en la totalidad de los pacientes&#46; Todos los hematomas fueron tratados quir&#250;rgicamente y la mortalidad operatoria fue del 50&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El hematoma epidural bilateral es una entidad cl&#237;nica poco frecuente y cuyo pron&#243;stico depende fundamentalmente de la situaci&#243;n neurol&#243;gica preoperatoria&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Epidural haematomas are one of the most common complications of closed head injuries&#46; Bilateral extradural haematomas are rare&#44; usually acute&#44; and generally associated with severe trauma and a high mortality&#46;</p> <span class="elsevierStyleSectionTitle">Objective</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The purpose of this paper is to present six cases of bilateral extradural haematomas seen at our service during the last 24 years and found a incidence of 2&#46;5&#37; of all cases of extradural haematomas surgically treated&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">There were 5 males and 1 female with a mean age of 32&#46;6 years &#40;range 16&#8211;55&#41;&#46; In 3 cases haematoma was across the midline and in the other 3 cases haematomas was found at different locations on cither side&#46; Skull fracture was present in all cases&#46; Surgical approach was the primary treatment in all cases&#46; Mortality in our series was 50&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Bilateral extradural haematomas is a rare condition and the prognosis is mainly dependent of the pre-operative neurological state&#46;</p>"
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Hematomas epidurales bilaterales simultáneos
Simultaneous bilateral extradural haematoma
M. Gelabert-González
, M. Iglesias-País, R. Serramito-García, J. Fernández-Villa, A. García-Allut, R. Martínez-Rumbo
Servicio de Neurocirugía. Hospital Clínico Universitario de Santiago. Departamento de Cirugía. Universidad de Santiago de Compostela
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los hematomas epidurales constituyen una de las complicaciones m&#225;s frecuentes de los traumatismos craneales&#46; Los hematomas bilaterales son muy poco frecuentes&#44; se asocian a traumatismos de gran intensidad y se acompa&#241;an de una elevada mortalidad&#46;</p> <span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Analizar los 6 casos de hematoma epidural bilateral &#40;HEB&#41; tratados en los &#250;ltimos 24 a&#241;os que representan el 2&#46;5&#37; de todos los hematomas epidurales intervenidos quir&#250;rgicamente en el mismo per&#237;odo de tiempo&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La serie esta formada por 5 varones y 1 mujer con una edad media de 32&#46;6 a&#241;os &#40;rango 16&#8211;55&#41;&#46; Cl&#237;nicamente todos presentaban disminuci&#243;n del nivel de consciencia&#46; En 3 pacientes el hematoma sobrepasaba la l&#237;nea media&#44; y en los otros 3 las localizaciones eran diversas&#46; Se apreci&#243; fractura de cr&#225;neo en la totalidad de los pacientes&#46; Todos los hematomas fueron tratados quir&#250;rgicamente y la mortalidad operatoria fue del 50&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El hematoma epidural bilateral es una entidad cl&#237;nica poco frecuente y cuyo pron&#243;stico depende fundamentalmente de la situaci&#243;n neurol&#243;gica preoperatoria&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Epidural haematomas are one of the most common complications of closed head injuries&#46; Bilateral extradural haematomas are rare&#44; usually acute&#44; and generally associated with severe trauma and a high mortality&#46;</p> <span class="elsevierStyleSectionTitle">Objective</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The purpose of this paper is to present six cases of bilateral extradural haematomas seen at our service during the last 24 years and found a incidence of 2&#46;5&#37; of all cases of extradural haematomas surgically treated&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">There were 5 males and 1 female with a mean age of 32&#46;6 years &#40;range 16&#8211;55&#41;&#46; In 3 cases haematoma was across the midline and in the other 3 cases haematomas was found at different locations on cither side&#46; Skull fracture was present in all cases&#46; Surgical approach was the primary treatment in all cases&#46; Mortality in our series was 50&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Bilateral extradural haematomas is a rare condition and the prognosis is mainly dependent of the pre-operative neurological state&#46;</p>"
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ISSN: 11301473
Idioma original: Español
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