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Vol. 2. Núm. 1.
Páginas 43-46 (enero 1991)
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Vol. 2. Núm. 1.
Páginas 43-46 (enero 1991)
Neumoéncefalos traumáticos agudos
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10278
A. Prieto González, A. Bollar Zabala, M. Gelabert González, A. García Allut
Servicio de Neurocirugía. Hospital General de Galicia - Clínico Universitario. Instituto de Ciencias Neurológicas «Pedro Barrié de la Maza». Santiago de Compostela
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Resumen

La causa más frecuente de neumoencéfalo es traumática, encontrando aire intracraneal en el 9,7% de los traumatismos craneoencefálicos estudiados con TAC. El aire se localiza fundamentalmente en el espacio subdural (61%), penetrando por fracturas frontales o temporales y aparece en las primeras 6 horas después del traumatismo.

Se realiza un estudio retrospectivo de 45 casos de neumoencéfalos secundarios a traumatismos craneoencefálicos. Se efectúa una correlacción entre la gravedad clínica valorada por la escala de Glasgow y la localización del aire y la presencia de lesiones asociadas evaluadas por tomografía axial computada. Se discuten los factores pronósticos y las distintas formas de tratamiento.

Palabras clave:
Neumoencéfalo
traumatismo craneoencefálico
GCS
Tomografía axial computada

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