Fosa craneal media anterior, Los hallazgos en la TC cuando son de compromiso arterial son: Forma lentiforme o sea biconvexa, en esto se diferencia claramente del hematoma subdural. Raramente crecen. La TC es suficiente para el Dx. Las principales causas son: Trauma de golpe y contragolpe, la principal causa.
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Stupor — near consciousness or insensibility 5, 7 Cerebral Edema Diagnosis If a person is experiencing any of the aforementioned symptoms, the doctor will immediately assess the extent of the symptoms. He will also perform diagnostic procedures and lab works such as CT scan, MRI, and neurologic examination.
The doctor will conduct a thorough examination of the head and neck. Blood works are needed to thoroughly identify the root cause of swelling. Usually, minor cases of cerebral edema such as the ones caused by slight concussion and altitude sickness resolve in just a few days.
Cerebral edema management focuses on ensuring that the brain will receive ample amount of blood and oxygen while the treatment is going on. Brain swelling after head injury will subside if it receives a combination of medical and surgical intervention.
Brain swelling recovery is high if the patient receives the necessary treatment right away. Not receiving prompt treatment could lead to brain damage. The treatment approach includes the following: 7, 8, 9 Oxygen therapy — The patient is put on a respirator or other breathing apparatus to make sure that the blood is receiving enough oxygen. The respirator is adjust into its therapeutic level to make sure that the swelling in the brain subsides.
Hyperventilation — Controlled Hyperventilation can help in reducing the reducing intra cranial pressure. IV fluids — Intravenous fluid along with medications given via IV route will help normalize the blood pressure level. However, the right amount of fluid should be regulated by the doctor to make sure that the brain swelling will not get worst.
This hypothermic approach to cerebral edema is difficult to perform, but is highly therapeutic when done correctly. Medication — The doctor will thoroughly assess the inflammation in the brain. He will prescribe drugs to alleviate the swelling. To get rid of the excess fluid in the brain, osmotic diuretics are used. An example of osmotic diuretic is mannitol. Surgical approach — The purpose of the surgery is to remove a part of the skull so as to relieve intracranial pressure. The surgery will help remove the swelling in the brain and repair any damaged veins and arteries.
If the edema is caused by tumor, the growth is removed surgically. It is important to determine the root cause of cerebral edema. If the root cause is not treated, then there is a high possibility that the problem will happen over and over again. In fact, it is one of the causes of diabetes-related deaths in children.
The edema occurs a few hours of treatment with IV fluids and insulin. Cerebral edema takes place because of the severity of dehydration, acidosis, and hypocapnia reduced carbon dioxide in the blood at the presentation of diabetic ketoacidosis. Positioning Positioning is important in people with cerebral edema.
The head of the patient should be elevated. However, if the patient is suffering from stroke, head elevation is discouraged because a reduced blood flow into the brain could worsen the condition of the patient. Through proper positioning, excess blood and fluid in the brain will be drained out using the force of the gravity. Find some time to relax. Mental and emotional stress should be managed in a healthy way.
O que devemos saber sobre o edema cerebral?
Texto completo Sr. En los casos de deterioro vascular extenso alcanza una alta mortalidad. Figura 1. A: tomografia computarizada realizada en el momento del ingreso, donde se observa hipodensidad parenquimatosa en el hemisferio cerebeloso izquierdo.
This article has been cited by other articles in PMC. Introduction Surprising as it may sound cerebral edema is a fairly common pathophysiological entity which is encountered in many clinical conditions. Many of these conditions present as medical and surgical emergencies. Pathophysiology Pathophysiology of cerebral edema at cellular level is complex. Damaged cells swell, injured blood vessels leak and blocked absorption pathways force fluid to enter brain tissues.