tce
DESCRIPTION
Descripción breve y actual de la patogénesis y fisiopatología del TCE (Traumatismo Craneoencefálico).TRANSCRIPT
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MIP Benjamín P. Ochoa
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TCE | Definición
• Lesión en cabeza.
• Daño cerebral traumático.
Suleiman GH. Trauma craneoencefálico severo: Parte I.
Medicritic 2005;2(7):107-148.
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TCE | Definición
Suleiman GH. Trauma craneoencefálico severo: Parte I.
Medicritic 2005;2(7):107-148.
SEVERO
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TCE | Epidemiología
<40 años.
Accidentes de tránsito*.
Tasa de mortalidad: 11-16 x 100.000
Mortalidad 30%*.
Incidencia: 200-400 x 100.000
H-M 2:1 – 3:1.
Pob. $$.
Suleiman GH. Trauma craneoencefálico severo: Parte I.
Medicritic 2005;2(7):107-148.
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TCE | Epidemiología
Suleiman GH. Trauma craneoencefálico severo: Parte I.
Medicritic 2005;2(7):107-148.
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TCE | Patogénesis
Fase I
Impacto directo.
Fase II
Suleiman GH. Trauma craneoencefálico severo: Parte I.
Medicritic 2005;2(7):107-148.
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TCE | Patogénesis
Suleiman GH. Trauma craneoencefálico severo: Parte I.
Medicritic 2005;2(7):107-148.
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TCE | Patogénesis
Modificado de Suleiman GH. Trauma craneoencefálico severo: Parte I.
Medicritic 2005;2(7):107-148.
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TC
E | P
ato
gé
ne
sis
Modific
ado
de S
ule
iman G
H. T
raum
a c
raneoencefá
lico
severo
: P
art
e I.
Medic
ritic
2005;2
(7):
107-1
48.
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TC
E | P
ato
gé
ne
sis
Modific
ado
de S
ule
iman G
H. T
raum
a c
raneoencefá
lico
severo
: P
art
e I.
Medic
ritic
2005;2
(7):
107-1
48.
![Page 14: TCE](https://reader033.vdocuments.pub/reader033/viewer/2022060203/559e514c1a28ab4c448b45a6/html5/thumbnails/14.jpg)
TCE | Patogénesis
Suleiman GH. Trauma craneoencefálico severo: Parte I.
Medicritic 2005;2(7):107-148.
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TCE | LAD
Suleiman GH. Trauma craneoencefálico severo: Parte I.
Medicritic 2005;2(7):107-148.
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TCE | LAD
Suleiman GH. Trauma craneoencefálico severo: Parte I.
Medicritic 2005;2(7):107-148.
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TCE | HE
Suleiman GH. Trauma craneoencefálico severo: Parte I.
Medicritic 2005;2(7):107-148.
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TCE | HE
Suleiman GH. Trauma craneoencefálico severo: Parte I.
Medicritic 2005;2(7):107-148.
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TCE | HS
Suleiman GH. Trauma craneoencefálico severo: Parte I.
Medicritic 2005;2(7):107-148.
Mal pronóstico
Desviación de la línea media.
Grosor >18mm.
Contusión cerebral.
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TCE | HSA
Suleiman GH. Trauma craneoencefálico severo: Parte I.
Medicritic 2005;2(7):107-148.
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TCE | HSAEscala tomográfica de Greene
Grado Definición
1
2
3A
3B
4A
4B
HAS </= 5 mm.
HAS > 5 mm.
HAS </= 5mm, DLM </= 5mm, LEM.
HAS </= 5mm, DLM > 5mm, LEM.
HAS > 5mm, DLM </= 5mm, LEM.
HAS > 5mm, DLM > 5mm, LEM.
Suleiman GH. Trauma craneoencefálico severo: Parte I.
Medicritic 2005;2(7):107-148.
![Page 23: TCE](https://reader033.vdocuments.pub/reader033/viewer/2022060203/559e514c1a28ab4c448b45a6/html5/thumbnails/23.jpg)
TCE | HSAEscala tomográfica de Fisher
Grado Definición
1
2
3*
4
Hemorragia o coágulo no visible.
Hemorragia linear difusa de grosor < 1mm.
Hemorragia o coágulo localizado o difuso de grosor >/= 1mm.
Hemorragia intraventricular o parenquimatosa.
Suleiman GH. Trauma craneoencefálico severo: Parte I.
Medicritic 2005;2(7):107-148.
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TCE | Hematoma Intraparenquimatoso
Visiblesdespúesde 24 hrs.
Hasta 10 días postrauma.
Suleiman GH. Trauma craneoencefálico severo: Parte I.
Medicritic 2005;2(7):107-148.
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TCE | Fracturas
Suleiman GH. Trauma craneoencefálico severo: Parte I.
Medicritic 2005;2(7):107-148.
Fosaanterior
A Tipo I fractura de la láminacribiforme.
B Tipo II fonto-etmoidal.
C Tipo III frontal lateral o externa.
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TCE | Fracturas
Fosa media A
Longitudinal.
BTransversa.
Suleiman GH. Trauma craneoencefálico severo: Parte I.
Medicritic 2005;2(7):107-148.
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TCE | Fracturas
Fosa posterior
A Clival longuitudinal.
B Clival transversa.
Suleiman GH. Trauma craneoencefálico severo: Parte I.
Medicritic 2005;2(7):107-148.
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TCE | Fracturas
Fosa posterior
C Clivaloblicua.
D Fracturadel anillode la base.
Suleiman GH. Trauma craneoencefálico severo: Parte I.
Medicritic 2005;2(7):107-148.
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Gracias.
Referencias.Suleiman GH. Trauma craneoencefálico severo: Parte I. Medicritic
2005;2(7):107-148.