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Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2015; 34(04): 327-330
DOI: 10.1055/s-0035-1564822
Case Report | Relato de Caso
Thieme Publicações Ltda Rio de Janeiro, Brazil

Síndrome do trefinado: relato de caso

Syndrome of Trephined: A Case Report
Augusto Santos
1   Neurocirurgião do Hospital João XXIII, Belo Horizonte, MG, Brasil
,
Diego Oliveira da Mata
2   Acadêmicos de Medicina da Faculdade Ciências Médicas de Minas Gerais (CMMG), Belo Horizonte, MG, Brasil
,
Rayane Toledo Simas
2   Acadêmicos de Medicina da Faculdade Ciências Médicas de Minas Gerais (CMMG), Belo Horizonte, MG, Brasil
,
Rodrigo Moreira Faleiro
3   Chefe do Serviço de Neurocirurgia e Neurologia do Hospital João XXIII e neurocirurgião do Hospital Felício Rocho, Belo Horizonte, MG, Brasil
,
Thiago Oliveira Lemos de Lima
4   Médico Residente da Fundação Hospitalar do Estado de Minas Gerais (FHEMIG), Belo Horizonte, MG, Brasil
› Author Affiliations
Further Information

Publication History

10 November 2013

07 August 2015

Publication Date:
07 October 2015 (online)

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Resumo

Síndrome do trefinado é atualmente uma complicação comum na neurotraumatologia, sendo descrita como uma síndrome na qual ocorre deterioração neurológica acompanhada de sinais e sintomas após a remoção de uma parte considerável de osso do crânio, assim como ocorre na hemicraniectomia. Neste artigo, juntamente com a revisão de literatura, será relatado o caso de um paciente adulto, vítima de acidente automobilístico, com história de traumatismo cranioencefálico (TCE) grave que foi submetido à craniectomia terapêutica, cursando com a síndrome do trefinado.

Abstract

“Syndrome of the Trephined” or “Sinking Skin Flap Syndrome” is an usual syndrome in which neurological deterioration occurs following removal of a large skull bone flap (for example, in descompressive craniectomy). In this article, we will report the case of a 24 years old male, victim of an automobile accident with severe traumatic brain injury (TBI), which developed the Syndrome of the Trephined.

Palavras-Chave

craniectomia descompressiva - traumatismos encefálicos - síndrome

Keywords

descompressive craniectomy - brain injuries - syndrome
 

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