Os autores empregaram detalhes técnicos pessoais para descompressão da fossa posterior em casos de impressão basilar e/ou maliormação de Arnold-Chiari, consistente em intuoação endotraqueal sem retroflexão da cabeça do paciente, sendo o mesmo operado em posição sentada e com a cabeça ereta. Foi realizada plástica da paquimeninge da fossa posterior com dura-mater de cadáver conservada em glicerina.
Uni or bilateral decompressive craniotomy was carried out in 30 patients bearing severe cerebral edema of etiology predominantly traumatic. Coma, midriasis and decerebrate state were the mostly commonly clinical features presented. The average survival in the series was 46.6%.
Es wird ein Fall von offener transorbitaler Schädelhirnverletzung durch Stichwaffe vorgestellt, bei dem ein 30 cm langes Tranchiermesser durch die rechte Orbita derart eingestochen wurde, daß seine Spitze im Bereich der rechten hinteren Schädelgrube lag. Der Patient überlebte mit verhältnismäßig geringen neurologischen Ausfallserscheinungen.
SummaryA Rare Orbito-cerebral penetrating Knife-Wound
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