Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- evidence of trauma
- headache
- nausea/vomiting
- diminished eye response
- diminished verbal response
- diminished motor response
- confusion
Outros fatores diagnósticos
- loss of consciousness/decreased alertness
- seizure
- loss of bowel and bladder continence
- localized weakness
- sensory changes
- cognition changes
- speech or vision changes
- otorrhea
- rhinorrhea
Fatores de risco
- recent trauma
- coagulopathy and anticoagulant use
- advanced age (>65 years)
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- noncontrast CT scan
Investigações a serem consideradas
- MRI scan
- plain skull x-ray
Algoritmo de tratamento
acute hematoma
with ventriculoperitoneal shunt
chronic hematoma
Colaboradores
Autores
Christopher P. Robinson, DO, MS
Associate Professor of Neurology and Neurosurgery
Division of Neurocritical Care
Director
Shands Neuromedicine Intensive Care Unit
Program Director
NCC Fellowship
Neurology Clerkship Director
University of Florida College of Medicine
Florida
FL
Declarações
CPR has received compensation for serving as an expert witness.
Agradecimentos
Dr Christopher P. Robinson would like to gratefully acknowledge Dr Andrew W. Grande, Dr Stephen J. Haines, Dr Praveen R. Baimeedi, Dr Jason S. Hauptma, and Dr Neil A. Martin, previous contributors to this topic.
Declarações
AWG, SJH, PRB, JSH, and NAM declare that they have no competing interests.
Revisores
Nathan J. Ranalli, MD
Resident
Department of Neurosurgery
University of Pennsylvania School of Medicine
Philadelphia
PA
Declarações
NJR declares that he has no competing interests.
Marek Ma, MD
Instructor
Emergency Medicine
Department of Emergency Medicine Administrative Offices
University of Pennsylvania
Philadelphia
PA
Declarações
MM declares that he has no competing interests.
Diagnósticos diferenciais
- Epidural hematoma
- Intracerebral hematoma
- Diffuse axonal injury
Mais Diagnósticos diferenciaisDiretrizes
- Head injury: assessment and early management
- ACR appropriateness criteria: head trauma
Mais DiretrizesCalculadoras
Glasgow Coma Scale
Canadian CT Head Rule
Mais CalculadorasConectar-se ou assinar para acessar todo o BMJ Best Practice
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