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DOI: 10.1055/s-0035-1547392
Hematoma epidural diagnosticado por diplopia − Relato de caso
Epidural Hematoma Diagnosed by Diplopia − Case ReportPublication History
10 March 2014
01 November 2014
Publication Date:
29 April 2015 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00028832/201501/lookinside/thumbnails/10-1055-s-0035-1547392_0182015-1.jpg)
Resumo
Os autores relatam e discutem o mecanismo pelo qual um paciente de 33 anos, com relato de traumatismo crânio encefálico ocorrido 5 dias antes com perda de consciência no momento do traumatismo, e assintomático nos 4 dias sequentes, iniciou diplopia no quinto dia após o traumatismo, sintoma que provocou sua ida ao pronto-socorro, a realização de exame físico neurológico normal e de tomografia do crânio devido a história e mecanismo de traumatismo, que revelou hematoma epidural occipital, prontamente operado, com o sintoma de diplopia tendo desaparecido no 14o dia após a cirurgia, já com o paciente em casa.
Abstract
The authors report a male of 33 years that after head trauma occurred 5 days before developed diplopia, which motivated him to go to the emergency room, where even without changes in neurological examination, brain CT scan performed revealed an epidural hematoma occipital, operated with good functional outcome.
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Referências
- 1 Andrade AF, Paiva WS, Soares MS, De Amorim RL, Tavares WM, Teixeira MJ. Classification and management of mild head trauma. Int J Gen Med 2011; 4: 175-179
- 2 Baldo V, Marcolongo A, Floreani A , et al. Epidemiological aspect of traumatic brain injury in Northeast Italy. Eur J Epidemiol 2003; 18 (11) 1059-1063
- 3 Caroli M, Bertani G, Fetoni V, Sasanelli F, Gaini SM, Samis Zella MA. Bilateral intracavernous carotid artery aneurysms presenting as abducens nerve palsy: case report. J Neurosurg Sci 2009; 53 (4) 169-170
- 4 Coimbra CJ, Azevedo Filho HR, Furtado GJ, Lima FT. Hematoma extradural (considerações sobre 66 casos). Arq Bras Neurocir 1983; 2: 113-123
- 5 Cheung PS, Lam JM, Yeung JH, Graham CA, Rainer TH. Outcome of traumatic extradural haematoma in Hong Kong. Injury 2007; 38 (1) 76-80
- 6 Duthie G, Reaper J, Tyagi A, Crimmins D, Chumas P. Extradural haematomas in children: a 10-year review. Br J Neurosurg 2009; 23 (6) 596-600
- 7 Gabella B, Hoffman RE, Marine WW, Stallones L. Urban and rural traumatic brain injuries in Colorado. Ann Epidemiol 1997; 7 (3) 207-212
- 8 Hahn CD, Nicolle DA, Lownie SP, Drake CG. Giant cavernous carotid aneurysms: clinical presentation in fifty-seven cases. J Neuroophthalmol 2000; 20 (4) 253-258
- 9 Hillier SL, Hiller JE, Metzer J. Epidemiology of traumatic brain injury in South Australia. Brain Inj 1997; 11 (9) 649-659
- 10 Masson F, Thicoipe M, Aye P , et al. Epidemiology of severe brain injuries: a prospective population-based study. J Trauma 2001; Sep; 51 (3) 481-489
- 11 Mello LR, Furg FP, Braga FM. Hematoma extradural: estudo comparativo entre pacientes em coma e não. Arq Bras Neurocir 1991; 10 (2) 57-77
- 12 Nallasamy S, Lesniak S, Volpe NJ, Tamhankar MA. Unusual presentations of cavernous carotid aneurysms: further evidence for topographic organization of the oculomotor nerve. J Neurol Sci 2010; 295 (1–2) 82-86
- 13 Radulovic D, Janosevic V, Djurovic B, Slavik E. Traumatic delayed epidural hematoma. Zentralbl Neurochir 2006; 67 (2) 76-80
- 14 Rosi Jr. J. Neurônio: Perguntas e Respostas em Neurocirurgia. São Paulo: Scortecci editora; 2011
- 15 Rosi Jr. J. Hematoma epidural: Análise prospectiva de 73 pacientes operados pelo autor. RFML 2008; 13: 249-253
- 16 Rosi Junior J, Figueiredo EG, Rocha EP, Andrade AF, Rasslan S, Teixeira MJ. Whole-body computerized tomography and concomitant spine and head injuries: a study of 355 cases. Neurosurg Rev 2012; 35 (3) 437-444
- 17 Wojcik BE, Stein CR, Bagg K, Humphrey RJ, Orosco J. Traumatic brain injury hospitalizations of U.S. army soldiers deployed to Afghanistan and Iraq. Am J Prev Med 2010; 38 (Suppl. 01) 108-116