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CLINOPATOLOGÍA DEL SISTEMA  NERVIOSO CENTRAL Dr. Candelario Rivas Olvera TRAUMA Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. 1
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty TRAUMATISMO CRANEOENCEFÁLICO 2
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty EPIDEMIOLOGÍA 3
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty EPIDEMIOLOGÍA Las principales causas son: 4
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty DEFINICIÓN “Cualquier lesión física o deterioro funcional del contenido craneal secundario a un  intercambio brusco de energía mecánica”. 5
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. CINEMÁTICA DEL TCE Realizó: Yarely A. Flores Vertty Al proceso de analizar un accidente y determinar qué daños podrían concebiblemente haber resultado de las fuerzas y movimientos involucrados. 6
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. 7 CINEMÁTICA DEL TCE Realizó: Yarely A. Flores Vertty
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty ANATOMÍA PATOLÓGICA Y FISIOPATOLOGÍA DEL TCE 8
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. FRACTURAS CRANEALES Realizó: Yarely A. Flores Vertty Recuperado de: http://www.neurosanjuan.com.ar/traucraneo.htm 9
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. FRACTURAS CRANEALES Realizó: Yarely A. Flores Vertty 10
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. FRACTURAS CRANEALES Realizó: Yarely A. Flores Vertty Las fracturas deprimidas o conminutas aun cerradas requieren: Desbridamiento Elevación de fragmentos  Reparación de la dura madre.  85% de fracturas deprimidas son abiertas y susceptibles de infectarse o de fugas LCR 11
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. FRACTURAS DE LA BASE Realizó: Yarely A. Flores Vertty 12
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. FRACTURAS DE LA BASE Realizó: Yarely A. Flores Vertty Recuperado de: http://www.neurosanjuan.com.ar/traucraneo.htm 13
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty FRACTURAS DE PORCÓN PETROSA  DEL HUESO TEMPORAL Recuperado de: http://www.encolombia.com/avamedivol212000-patologia1.htm 14
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty FRACTURAS DE PORCÓN PETROSA  DEL HUESO TEMPORAL Recuperado de: http://www.efrenherrera.com/Presentaciones/TCE-VII_archivos/frame.htm#slide0199.htm 15
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty ANATOMÍA PATOLÓGICA Y FISIOPATOLOGÍA DEL TCE SIGNO DE BATTLE Recuperado de: http://fracturabasecraneo.blogspot.com/ 16
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. FRACTURA DE HUESO  ESFENOIDALES FRONTAL O ETMOIDAL Realizó: Yarely A. Flores Vertty Recuperado de: http://www.lookfordiagnosis.com/images.php?term=Rinorrea Recuperado de: http://pediatria-andrew.blogspot.com/2008_03_01_archive.html 17
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty FRACTURA DE HUESO  ESFENOIDALES FRONTAL O ETMOIDAL OJOS DE MAPACHE http://www.efrenherrera.com/Presentaciones/TCE-VII_archivos/frame.htm#slide0199.htm 18
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty FRACTURAS http://www.efrenherrera.com/Presentaciones/TCE-VII_archivos/frame.htm#slide0199.htm 19
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. CONMOCIÓN CEREBRAL Realizó: Yarely A. Flores Vertty 20
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. CONMOCIÓN CEREBRAL Realizó: Yarely A. Flores Vertty Recuperado de : http://psicofisiologiaii.blogspot.com/2010/04/formacion-reticular.html Recuperado de: http://www.juntadeandalucia.es/averroes/~29701428/salud/auxi.htm 21
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. LESIÓN AXONAL DIFUSA Realizó: Yarely A. Flores Vertty 22
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. LESIÓN AXONAL DIFUSA Realizó: Yarely A. Flores Vertty Los movimientos de rotación y otras partes del cerebro durante el trauma se traduce en daños numerosos a los axones, tanto en cerebro, como tronco cerebral 23
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. LESIÓN AXONAL DIFUSA Realizó: Yarely A. Flores Vertty Localización más frecuente de la lesión axonal difusa Hemorragia de Duret en mesencéfalo 24
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty TUMEFACCIÓN Y  EDEMA CEREBRAL Recuperados de: http://www.lookfordiagnosis.com/images.php?term=Brain+Edema&lang=1 25
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty TUMEFACCIÓN Y  EDEMA CEREBRAL 26
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty TUMEFACCIÓN Y  EDEMA CEREBRAL Recuperados de: http://www.lookfordiagnosis.com/images.php?term=Brain+Edema&lang=1 27
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty TUMEFACCIÓN Y  EDEMA CEREBRAL Recuperados de: http://www.lookfordiagnosis.com/images.php?term=Brain+Edema&lang=1 28
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CONTUSIÓN Y HEMORRAGIA PARENQUIMATOSA 29
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CONTUSIÓN Y HEMORRAGIA PARENQUIMATOSA Sitios más comunes: Parte inferior de los lóbulos frontal y temporal Tejido cerebral entra en contacto con protuberancias irregulares en la base del cráneo, Recuperado de: http://www.sepeap.org/archivos/revisiones/neonatologia/prematuridad.htm 30
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CONTUSIÓN Y HEMORRAGIA PARENQUIMATOSA Localización más frecuente de las contusiones cerebrales 31
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CONTUSIÓN Y HEMORRAGIA PARENQUIMATOSA Se localiza con mayor frecuencia en lóbulo temporal y frontal. 32
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CONTUSIÓN Y HEMORRAGIA PARENQUIMATOSA Lesión ocupativa con fenómeno de masa. Hiperdensa Recuperado de: http://connect.in.com/subdural-hematoma/images-neuroimagen-hemorragia-parenquimatosa-12-819347400156.html 33
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CONTUSIÓN Y HEMORRAGIA PARENQUIMATOSA Recuperado de: http://connect.in.com/subdural-hematoma/images-neuroimagen-hemorragia-parenquimatosa-12-819347400156.html 34
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CONTUSIÓN Y HEMORRAGIA PARENQUIMATOSA 35
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CONTUSIÓN Y HEMORRAGIA PARENQUIMATOSA 36
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CONTUSIÓN Y HEMORRAGIA PARENQUIMATOSA 37
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CONTUSIÓN Y HEMORRAGIA PARENQUIMATOSA 38
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CONTUSIÓN Y HEMORRAGIA PARENQUIMATOSA 39
Realizó: Yarely A. Flores Vertty CONTUSIÓN Y HEMORRAGIA PARENQUIMATOSA Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. 40
HEMATOMA Realizó: Yarely A. Flores Vertty Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. 41
HEMATOMAS INTRACRANEALES POSTRAUMÁTICOS Realizó: Yarely A. Flores Vertty Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. 42
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL Realizó: Yarely A. Flores Vertty 43
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL Realizó: Yarely A. Flores Vertty 44
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL Realizó: Yarely A. Flores Vertty 45
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL Realizó: Yarely A. Flores Vertty Recuperado de: http://www.lookfordiagnosis.com/images.php?term=Hematoma+Subdural+Agudo&lang=2&from=40 46
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL Realizó: Yarely A. Flores Vertty 47
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL Realizó: Yarely A. Flores Vertty Recuperado de: http://connect.in.com/subdural-hematoma/photos-subdural-hematoma-001-9d1b52e9bd2f5aee.html#image_button 48
HEMATOMA SUBDURAL Realizó: Yarely A. Flores Vertty Recuperado de: http://connect.in.com/subdural-hematoma/photos-subdural-hematoma-001-9d1b52e9bd2f5aee.html#image_button Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. 49
HEMATOMA SUBDURAL Realizó: Yarely A. Flores Vertty Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. 50
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL AGUDO Realizó: Yarely A. Flores Vertty 51
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL Realizó: Yarely A. Flores Vertty Hernia del uncus  izquierda, causada  por hematoma  subdural agudo del  mismo lado. Hernia  de amigdalas cerebelosas por  foramen magno 52
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL AGUDO Realizó: Yarely A. Flores Vertty Recuperado de: http://connect.in.com/subdural-hematoma/photos-subdural-hematoma-001-9d1b52e9bd2f5aee.html#image_button 53
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL AGUDO Realizó: Yarely A. Flores Vertty 54
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL AGUDO Realizó: Yarely A. Flores Vertty 55
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. CRANEOTOMÍA IZQ PARA DRENAJE DE HEMATOMAS AGUDOS TRAUMÁTICOS Realizó: Yarely A. Flores Vertty Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. 56
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL CRÓNICO Realizó: Yarely A. Flores Vertty 57
HEMATOMA SUBDURAL CRÓNICO Realizó: Yarely A. Flores Vertty Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. 58
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL CRÓNICO Realizó: Yarely A. Flores Vertty Recuperado de: http://tomatetumedicina.wordpress.com/2008/09/06/neumoencefalo/ Acumulación de LCR en el espacio subdural tras un desgarro o lesión de las leptomeninges 59
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL CRÓNICO Realizó: Yarely A. Flores Vertty 60
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL CRÓNICO Realizó: Yarely A. Flores Vertty Localizado en la convexidad del hemisferio cerebral izquierdo. Entre dura madre y aracnoides. Evolución de más de 10 a 20 días. 61
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. DRENAJE DEL HEMATOMA SUBDURAL CRÓNICO A TRAVÉS DE TRÉPANOS Realizó: Yarely A. Flores Vertty 62
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL CRÓNICO Realizó: Yarely A. Flores Vertty El 16% es bilateral 63
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA EPIDURAL Realizó: Yarely A. Flores Vertty 64
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA EPIDURAL Realizó: Yarely A. Flores Vertty Hematoma epidural no agudo, evacuado por craniectomía temporal Fractura Hematoma por encima de la dura madre Coagulación de arteria meníngea media Vista coronal 65
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA EPIDURAL Realizó: Yarely A. Flores Vertty Imagen angiográfica en fase venosa que demuestra el rechazo rostrocaudal del seno sagital superior por un hematoma epidural 66
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA EPIDURAL Realizó: Yarely A. Flores Vertty 67
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA EPIDURAL Realizó: Yarely A. Flores Vertty 68
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA EPIDURAL Realizó: Yarely A. Flores Vertty Recuperado de: http://connect.in.com/epidural-hematoma/photos-1-1-1-6135499f170e4a4a106319da357f2539.html 69
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA EPIDURAL Realizó: Yarely A. Flores Vertty Lápiz, coagulando arteria meníngea media lacerada por la fractura. Evacuación de hematoma epidural en el espacio desplegable de Gerard Marchant en fosa temporal y subtemporal. 70
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. COMPARATIVA Realizó: Yarely A. Flores Vertty 71
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMORRAGIA SUBARACNOIDEA Realizó: Yarely A. Flores Vertty 72
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty EVALUACIÓN INICIAL Y ESTABILIZACIÓN Juzgar gravedad de la lesión, descartar fracturas de columna y lesiones extracraneales.  73
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty EVALUACIÓN INICIAL Y ESTABILIZACIÓN 74
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty EVALUACIÓN INICIAL Y ESTABILIZACIÓN 75
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CLASIFICACIÓN DE BECKER 76
Realizó: Yarely A. Flores Vertty EVALUACIÓN INICIAL Y ESTABILIZACIÓN Glasgow de 9, menor o con signos clínicos de herniación requieren medidas para reducir la PIC, incluyendo: Elevación de la cabeza Hiperventilación  Manitol Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. 77
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. DIAGNÓSTICO Realizó: Yarely A. Flores Vertty 78
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. DIAGNÓSTICO Realizó: Yarely A. Flores Vertty 79
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. DIAGNÓSTICO Realizó: Yarely A. Flores Vertty 80
DIAGNÓSTICO Realizó: Yarely A. Flores Vertty Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. 81
EVALUACIÓN CLÁSICA DEL HEMATOMA EPIDURAL Realizó: Yarely A. Flores Vertty PERIODO LÚCIDO Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. 82
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. DIAGNÓSTICO Realizó: Yarely A. Flores Vertty 83
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. RADIOGRAFÍA E IMAGEN Realizó: Yarely A. Flores Vertty 84
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. RADIOGRAFÍA E IMAGEN Realizó: Yarely A. Flores Vertty 85
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty INGRESO HOSPITALARIO GRUPO DE BAJO RIESGO 86
INGRESO HOSPITALARIO GRUPO DE RIESGO MODERADO Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty 87
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty INGRESO HOSPITALARIO GRUPO DE ALTO RIESGO 88
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. INTERVENCIÓN QUIRÚRGICA Realizó: Yarely A. Flores Vertty 89
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. TRATAMIENTO DE LA PIC Realizó: Yarely A. Flores Vertty 90
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. TRATAMIENTO DE LA PIC Realizó: Yarely A. Flores Vertty 91
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. TRATAMIENTO Realizó: Yarely A. Flores Vertty 92
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty TRATAMIENTO DEL TCE  GRAVE EN LA UCI Seguimiento continuo de su:  93
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. TRATAMIENTO Realizó: Yarely A. Flores Vertty 94
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty VÍA RESPIRATORIA Y VENTILACIÓN PULMONAR 95
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CORRECIÓN DE LA  PRESIÓN ARTERIAL 96
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. TRATAMIENTO Realizó: Yarely A. Flores Vertty 97
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. TRATAMIENTO Realizó: Yarely A. Flores Vertty Recuperada de: http://www.estudiarenfermeria.net/2011/02/los-accesos-vasculares-centrales.html 98
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. TRATAMIENTO Realizó: Yarely A. Flores Vertty 99
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. TRATAMIENTO Realizó: Yarely A. Flores Vertty 100
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CORRECIÓN DE LA TEMPERATURA 101
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. ANTIEPILÉPTICOS Realizó: Yarely A. Flores Vertty 102
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty NIMODIPINO PARA LA  HEMORRAGIA SUBARACNOIDEA 103
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. ESTEROIDES Realizó: Yarely A. Flores Vertty Aumenta el riesgo de:  Hiperglucemia  Infección 104
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty TRATAMIENTO 105
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. ANTIBIÓTICOS Realizó: Yarely A. Flores Vertty 106
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. COMPLICACIONES AGUDAS Realizó: Yarely A. Flores Vertty 107
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. FÍSTULA DE LCR Realizó: Yarely A. Flores Vertty 108
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. FÍSTULA DE LCR Realizó: Yarely A. Flores Vertty 109
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. NEUMOENCÉFALO Realizó: Yarely A. Flores Vertty Neumoencéfalo frontal izquierdo Recuperado de: http://scielo.sld.cu/scielo.php 110
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty FÍSTULA CARÓTIDOCAVERNOSA Recuperado de: http://www.lookfordiagnosis.com/images.php 111
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty FÍSTULA CARÓTIDOCAVERNOSA 112
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty LESIÓN VASCULAR Y TROMBOSIS 113
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. FRACTURAS Realizó: Yarely A. Flores Vertty 114
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty LESIONES DE PARES CRANEALES 115
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. INFECCIONES Realizó: Yarely A. Flores Vertty Engrosamiento   del hueso frontal y ocupación de sus cavidades con un área  lítica Recuperado: http://scielo.isciii.es/scielo.php 116
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. INFECCIONES Realizó: Yarely A. Flores Vertty Recuperado de: http://www.lookfordiagnosis.com 117
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. INFECCIONES Realizó: Yarely A. Flores Vertty Recuperado de: http://1.bp.blogspot.com/_WGId80s34ss/SW0rKE8txw 118
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. INFECCIONES Realizó: Yarely A. Flores Vertty Recuperado de: http://scielo.sld.cu/scielo.php?pid Vista lateral de cráneo. Atraviesa órbita izquierda, piso de fosa craneal anterior, fosa craneal media y termina en lóbulo parietal 119
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. INFECCIONES Realizó: Yarely A. Flores Vertty 120
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. PRONÓSTICO Realizó: Yarely A. Flores Vertty 121
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. PRONÓSTICO Realizó: Yarely A. Flores Vertty 122
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty SÍNDROME  POSCONMOCIONAL 123
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CONVULSIONES Y EPILEPSIA POSTRAUMÁTICA 124
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty TRASTORNOS MOTORES POSTRAUMÁTICOS 125
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty EVOLUCIÓN DE UN PACIENTE  CON TCE SEVERO 126
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. TRAUMATISMO PEDIÁTRICO Realizó: Yarely A. Flores Vertty 127
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. TRAUMATISMO PEDIÁTRICO Realizó: Yarely A. Flores Vertty 128
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. TRAUMATISMO PEDIÁTRICO Realizó: Yarely A. Flores Vertty QUISTES LEPTOMENÍNGEOS 129
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. ABUSO EN INFANTES Realizó: Yarely A. Flores Vertty 130
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. ABUSO DE INFANTES Realizó: Yarely A. Flores Vertty 131
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty NEUROLOGÍA DE BOXEO PROFESIONAL 132
Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty NEUROLOGÍA DE BOXEO PROFESIONAL 133
134 Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt.

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  • 1. CLINOPATOLOGÍA DEL SISTEMA NERVIOSO CENTRAL Dr. Candelario Rivas Olvera TRAUMA Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. 1
  • 2. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty TRAUMATISMO CRANEOENCEFÁLICO 2
  • 3. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty EPIDEMIOLOGÍA 3
  • 4. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty EPIDEMIOLOGÍA Las principales causas son: 4
  • 5. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty DEFINICIÓN “Cualquier lesión física o deterioro funcional del contenido craneal secundario a un intercambio brusco de energía mecánica”. 5
  • 6. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. CINEMÁTICA DEL TCE Realizó: Yarely A. Flores Vertty Al proceso de analizar un accidente y determinar qué daños podrían concebiblemente haber resultado de las fuerzas y movimientos involucrados. 6
  • 7. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. 7 CINEMÁTICA DEL TCE Realizó: Yarely A. Flores Vertty
  • 8. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty ANATOMÍA PATOLÓGICA Y FISIOPATOLOGÍA DEL TCE 8
  • 9. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. FRACTURAS CRANEALES Realizó: Yarely A. Flores Vertty Recuperado de: http://www.neurosanjuan.com.ar/traucraneo.htm 9
  • 10. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. FRACTURAS CRANEALES Realizó: Yarely A. Flores Vertty 10
  • 11. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. FRACTURAS CRANEALES Realizó: Yarely A. Flores Vertty Las fracturas deprimidas o conminutas aun cerradas requieren: Desbridamiento Elevación de fragmentos Reparación de la dura madre. 85% de fracturas deprimidas son abiertas y susceptibles de infectarse o de fugas LCR 11
  • 12. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. FRACTURAS DE LA BASE Realizó: Yarely A. Flores Vertty 12
  • 13. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. FRACTURAS DE LA BASE Realizó: Yarely A. Flores Vertty Recuperado de: http://www.neurosanjuan.com.ar/traucraneo.htm 13
  • 14. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty FRACTURAS DE PORCÓN PETROSA DEL HUESO TEMPORAL Recuperado de: http://www.encolombia.com/avamedivol212000-patologia1.htm 14
  • 15. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty FRACTURAS DE PORCÓN PETROSA DEL HUESO TEMPORAL Recuperado de: http://www.efrenherrera.com/Presentaciones/TCE-VII_archivos/frame.htm#slide0199.htm 15
  • 16. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty ANATOMÍA PATOLÓGICA Y FISIOPATOLOGÍA DEL TCE SIGNO DE BATTLE Recuperado de: http://fracturabasecraneo.blogspot.com/ 16
  • 17. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. FRACTURA DE HUESO ESFENOIDALES FRONTAL O ETMOIDAL Realizó: Yarely A. Flores Vertty Recuperado de: http://www.lookfordiagnosis.com/images.php?term=Rinorrea Recuperado de: http://pediatria-andrew.blogspot.com/2008_03_01_archive.html 17
  • 18. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty FRACTURA DE HUESO ESFENOIDALES FRONTAL O ETMOIDAL OJOS DE MAPACHE http://www.efrenherrera.com/Presentaciones/TCE-VII_archivos/frame.htm#slide0199.htm 18
  • 19. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty FRACTURAS http://www.efrenherrera.com/Presentaciones/TCE-VII_archivos/frame.htm#slide0199.htm 19
  • 20. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. CONMOCIÓN CEREBRAL Realizó: Yarely A. Flores Vertty 20
  • 21. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. CONMOCIÓN CEREBRAL Realizó: Yarely A. Flores Vertty Recuperado de : http://psicofisiologiaii.blogspot.com/2010/04/formacion-reticular.html Recuperado de: http://www.juntadeandalucia.es/averroes/~29701428/salud/auxi.htm 21
  • 22. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. LESIÓN AXONAL DIFUSA Realizó: Yarely A. Flores Vertty 22
  • 23. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. LESIÓN AXONAL DIFUSA Realizó: Yarely A. Flores Vertty Los movimientos de rotación y otras partes del cerebro durante el trauma se traduce en daños numerosos a los axones, tanto en cerebro, como tronco cerebral 23
  • 24. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. LESIÓN AXONAL DIFUSA Realizó: Yarely A. Flores Vertty Localización más frecuente de la lesión axonal difusa Hemorragia de Duret en mesencéfalo 24
  • 25. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty TUMEFACCIÓN Y EDEMA CEREBRAL Recuperados de: http://www.lookfordiagnosis.com/images.php?term=Brain+Edema&lang=1 25
  • 26. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty TUMEFACCIÓN Y EDEMA CEREBRAL 26
  • 27. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty TUMEFACCIÓN Y EDEMA CEREBRAL Recuperados de: http://www.lookfordiagnosis.com/images.php?term=Brain+Edema&lang=1 27
  • 28. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty TUMEFACCIÓN Y EDEMA CEREBRAL Recuperados de: http://www.lookfordiagnosis.com/images.php?term=Brain+Edema&lang=1 28
  • 29. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CONTUSIÓN Y HEMORRAGIA PARENQUIMATOSA 29
  • 30. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CONTUSIÓN Y HEMORRAGIA PARENQUIMATOSA Sitios más comunes: Parte inferior de los lóbulos frontal y temporal Tejido cerebral entra en contacto con protuberancias irregulares en la base del cráneo, Recuperado de: http://www.sepeap.org/archivos/revisiones/neonatologia/prematuridad.htm 30
  • 31. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CONTUSIÓN Y HEMORRAGIA PARENQUIMATOSA Localización más frecuente de las contusiones cerebrales 31
  • 32. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CONTUSIÓN Y HEMORRAGIA PARENQUIMATOSA Se localiza con mayor frecuencia en lóbulo temporal y frontal. 32
  • 33. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CONTUSIÓN Y HEMORRAGIA PARENQUIMATOSA Lesión ocupativa con fenómeno de masa. Hiperdensa Recuperado de: http://connect.in.com/subdural-hematoma/images-neuroimagen-hemorragia-parenquimatosa-12-819347400156.html 33
  • 34. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CONTUSIÓN Y HEMORRAGIA PARENQUIMATOSA Recuperado de: http://connect.in.com/subdural-hematoma/images-neuroimagen-hemorragia-parenquimatosa-12-819347400156.html 34
  • 35. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CONTUSIÓN Y HEMORRAGIA PARENQUIMATOSA 35
  • 36. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CONTUSIÓN Y HEMORRAGIA PARENQUIMATOSA 36
  • 37. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CONTUSIÓN Y HEMORRAGIA PARENQUIMATOSA 37
  • 38. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CONTUSIÓN Y HEMORRAGIA PARENQUIMATOSA 38
  • 39. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CONTUSIÓN Y HEMORRAGIA PARENQUIMATOSA 39
  • 40. Realizó: Yarely A. Flores Vertty CONTUSIÓN Y HEMORRAGIA PARENQUIMATOSA Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. 40
  • 41. HEMATOMA Realizó: Yarely A. Flores Vertty Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. 41
  • 42. HEMATOMAS INTRACRANEALES POSTRAUMÁTICOS Realizó: Yarely A. Flores Vertty Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. 42
  • 43. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL Realizó: Yarely A. Flores Vertty 43
  • 44. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL Realizó: Yarely A. Flores Vertty 44
  • 45. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL Realizó: Yarely A. Flores Vertty 45
  • 46. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL Realizó: Yarely A. Flores Vertty Recuperado de: http://www.lookfordiagnosis.com/images.php?term=Hematoma+Subdural+Agudo&lang=2&from=40 46
  • 47. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL Realizó: Yarely A. Flores Vertty 47
  • 48. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL Realizó: Yarely A. Flores Vertty Recuperado de: http://connect.in.com/subdural-hematoma/photos-subdural-hematoma-001-9d1b52e9bd2f5aee.html#image_button 48
  • 49. HEMATOMA SUBDURAL Realizó: Yarely A. Flores Vertty Recuperado de: http://connect.in.com/subdural-hematoma/photos-subdural-hematoma-001-9d1b52e9bd2f5aee.html#image_button Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. 49
  • 50. HEMATOMA SUBDURAL Realizó: Yarely A. Flores Vertty Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. 50
  • 51. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL AGUDO Realizó: Yarely A. Flores Vertty 51
  • 52. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL Realizó: Yarely A. Flores Vertty Hernia del uncus izquierda, causada por hematoma subdural agudo del mismo lado. Hernia de amigdalas cerebelosas por foramen magno 52
  • 53. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL AGUDO Realizó: Yarely A. Flores Vertty Recuperado de: http://connect.in.com/subdural-hematoma/photos-subdural-hematoma-001-9d1b52e9bd2f5aee.html#image_button 53
  • 54. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL AGUDO Realizó: Yarely A. Flores Vertty 54
  • 55. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL AGUDO Realizó: Yarely A. Flores Vertty 55
  • 56. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. CRANEOTOMÍA IZQ PARA DRENAJE DE HEMATOMAS AGUDOS TRAUMÁTICOS Realizó: Yarely A. Flores Vertty Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. 56
  • 57. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL CRÓNICO Realizó: Yarely A. Flores Vertty 57
  • 58. HEMATOMA SUBDURAL CRÓNICO Realizó: Yarely A. Flores Vertty Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. 58
  • 59. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL CRÓNICO Realizó: Yarely A. Flores Vertty Recuperado de: http://tomatetumedicina.wordpress.com/2008/09/06/neumoencefalo/ Acumulación de LCR en el espacio subdural tras un desgarro o lesión de las leptomeninges 59
  • 60. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL CRÓNICO Realizó: Yarely A. Flores Vertty 60
  • 61. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL CRÓNICO Realizó: Yarely A. Flores Vertty Localizado en la convexidad del hemisferio cerebral izquierdo. Entre dura madre y aracnoides. Evolución de más de 10 a 20 días. 61
  • 62. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. DRENAJE DEL HEMATOMA SUBDURAL CRÓNICO A TRAVÉS DE TRÉPANOS Realizó: Yarely A. Flores Vertty 62
  • 63. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA SUBDURAL CRÓNICO Realizó: Yarely A. Flores Vertty El 16% es bilateral 63
  • 64. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA EPIDURAL Realizó: Yarely A. Flores Vertty 64
  • 65. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA EPIDURAL Realizó: Yarely A. Flores Vertty Hematoma epidural no agudo, evacuado por craniectomía temporal Fractura Hematoma por encima de la dura madre Coagulación de arteria meníngea media Vista coronal 65
  • 66. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA EPIDURAL Realizó: Yarely A. Flores Vertty Imagen angiográfica en fase venosa que demuestra el rechazo rostrocaudal del seno sagital superior por un hematoma epidural 66
  • 67. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA EPIDURAL Realizó: Yarely A. Flores Vertty 67
  • 68. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA EPIDURAL Realizó: Yarely A. Flores Vertty 68
  • 69. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA EPIDURAL Realizó: Yarely A. Flores Vertty Recuperado de: http://connect.in.com/epidural-hematoma/photos-1-1-1-6135499f170e4a4a106319da357f2539.html 69
  • 70. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMATOMA EPIDURAL Realizó: Yarely A. Flores Vertty Lápiz, coagulando arteria meníngea media lacerada por la fractura. Evacuación de hematoma epidural en el espacio desplegable de Gerard Marchant en fosa temporal y subtemporal. 70
  • 71. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. COMPARATIVA Realizó: Yarely A. Flores Vertty 71
  • 72. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. HEMORRAGIA SUBARACNOIDEA Realizó: Yarely A. Flores Vertty 72
  • 73. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty EVALUACIÓN INICIAL Y ESTABILIZACIÓN Juzgar gravedad de la lesión, descartar fracturas de columna y lesiones extracraneales. 73
  • 74. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty EVALUACIÓN INICIAL Y ESTABILIZACIÓN 74
  • 75. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty EVALUACIÓN INICIAL Y ESTABILIZACIÓN 75
  • 76. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CLASIFICACIÓN DE BECKER 76
  • 77. Realizó: Yarely A. Flores Vertty EVALUACIÓN INICIAL Y ESTABILIZACIÓN Glasgow de 9, menor o con signos clínicos de herniación requieren medidas para reducir la PIC, incluyendo: Elevación de la cabeza Hiperventilación Manitol Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. 77
  • 78. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. DIAGNÓSTICO Realizó: Yarely A. Flores Vertty 78
  • 79. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. DIAGNÓSTICO Realizó: Yarely A. Flores Vertty 79
  • 80. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. DIAGNÓSTICO Realizó: Yarely A. Flores Vertty 80
  • 81. DIAGNÓSTICO Realizó: Yarely A. Flores Vertty Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. 81
  • 82. EVALUACIÓN CLÁSICA DEL HEMATOMA EPIDURAL Realizó: Yarely A. Flores Vertty PERIODO LÚCIDO Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. 82
  • 83. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. DIAGNÓSTICO Realizó: Yarely A. Flores Vertty 83
  • 84. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. RADIOGRAFÍA E IMAGEN Realizó: Yarely A. Flores Vertty 84
  • 85. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. RADIOGRAFÍA E IMAGEN Realizó: Yarely A. Flores Vertty 85
  • 86. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty INGRESO HOSPITALARIO GRUPO DE BAJO RIESGO 86
  • 87. INGRESO HOSPITALARIO GRUPO DE RIESGO MODERADO Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty 87
  • 88. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty INGRESO HOSPITALARIO GRUPO DE ALTO RIESGO 88
  • 89. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. INTERVENCIÓN QUIRÚRGICA Realizó: Yarely A. Flores Vertty 89
  • 90. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. TRATAMIENTO DE LA PIC Realizó: Yarely A. Flores Vertty 90
  • 91. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. TRATAMIENTO DE LA PIC Realizó: Yarely A. Flores Vertty 91
  • 92. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. TRATAMIENTO Realizó: Yarely A. Flores Vertty 92
  • 93. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty TRATAMIENTO DEL TCE GRAVE EN LA UCI Seguimiento continuo de su: 93
  • 94. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. TRATAMIENTO Realizó: Yarely A. Flores Vertty 94
  • 95. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty VÍA RESPIRATORIA Y VENTILACIÓN PULMONAR 95
  • 96. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CORRECIÓN DE LA PRESIÓN ARTERIAL 96
  • 97. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. TRATAMIENTO Realizó: Yarely A. Flores Vertty 97
  • 98. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. TRATAMIENTO Realizó: Yarely A. Flores Vertty Recuperada de: http://www.estudiarenfermeria.net/2011/02/los-accesos-vasculares-centrales.html 98
  • 99. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. TRATAMIENTO Realizó: Yarely A. Flores Vertty 99
  • 100. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. TRATAMIENTO Realizó: Yarely A. Flores Vertty 100
  • 101. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CORRECIÓN DE LA TEMPERATURA 101
  • 102. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. ANTIEPILÉPTICOS Realizó: Yarely A. Flores Vertty 102
  • 103. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty NIMODIPINO PARA LA HEMORRAGIA SUBARACNOIDEA 103
  • 104. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. ESTEROIDES Realizó: Yarely A. Flores Vertty Aumenta el riesgo de: Hiperglucemia Infección 104
  • 105. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty TRATAMIENTO 105
  • 106. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. ANTIBIÓTICOS Realizó: Yarely A. Flores Vertty 106
  • 107. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. COMPLICACIONES AGUDAS Realizó: Yarely A. Flores Vertty 107
  • 108. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. FÍSTULA DE LCR Realizó: Yarely A. Flores Vertty 108
  • 109. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. FÍSTULA DE LCR Realizó: Yarely A. Flores Vertty 109
  • 110. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. NEUMOENCÉFALO Realizó: Yarely A. Flores Vertty Neumoencéfalo frontal izquierdo Recuperado de: http://scielo.sld.cu/scielo.php 110
  • 111. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty FÍSTULA CARÓTIDOCAVERNOSA Recuperado de: http://www.lookfordiagnosis.com/images.php 111
  • 112. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty FÍSTULA CARÓTIDOCAVERNOSA 112
  • 113. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty LESIÓN VASCULAR Y TROMBOSIS 113
  • 114. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. FRACTURAS Realizó: Yarely A. Flores Vertty 114
  • 115. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty LESIONES DE PARES CRANEALES 115
  • 116. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. INFECCIONES Realizó: Yarely A. Flores Vertty Engrosamiento del hueso frontal y ocupación de sus cavidades con un área lítica Recuperado: http://scielo.isciii.es/scielo.php 116
  • 117. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. INFECCIONES Realizó: Yarely A. Flores Vertty Recuperado de: http://www.lookfordiagnosis.com 117
  • 118. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. INFECCIONES Realizó: Yarely A. Flores Vertty Recuperado de: http://1.bp.blogspot.com/_WGId80s34ss/SW0rKE8txw 118
  • 119. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. INFECCIONES Realizó: Yarely A. Flores Vertty Recuperado de: http://scielo.sld.cu/scielo.php?pid Vista lateral de cráneo. Atraviesa órbita izquierda, piso de fosa craneal anterior, fosa craneal media y termina en lóbulo parietal 119
  • 120. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. INFECCIONES Realizó: Yarely A. Flores Vertty 120
  • 121. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. PRONÓSTICO Realizó: Yarely A. Flores Vertty 121
  • 122. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. PRONÓSTICO Realizó: Yarely A. Flores Vertty 122
  • 123. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty SÍNDROME POSCONMOCIONAL 123
  • 124. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty CONVULSIONES Y EPILEPSIA POSTRAUMÁTICA 124
  • 125. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty TRASTORNOS MOTORES POSTRAUMÁTICOS 125
  • 126. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty EVOLUCIÓN DE UN PACIENTE CON TCE SEVERO 126
  • 127. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. TRAUMATISMO PEDIÁTRICO Realizó: Yarely A. Flores Vertty 127
  • 128. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. TRAUMATISMO PEDIÁTRICO Realizó: Yarely A. Flores Vertty 128
  • 129. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. TRAUMATISMO PEDIÁTRICO Realizó: Yarely A. Flores Vertty QUISTES LEPTOMENÍNGEOS 129
  • 130. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. ABUSO EN INFANTES Realizó: Yarely A. Flores Vertty 130
  • 131. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. ABUSO DE INFANTES Realizó: Yarely A. Flores Vertty 131
  • 132. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty NEUROLOGÍA DE BOXEO PROFESIONAL 132
  • 133. Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt. Realizó: Yarely A. Flores Vertty NEUROLOGÍA DE BOXEO PROFESIONAL 133
  • 134. 134 Merritt's Neurology 12th Edition. by H. Houston Textbook of Neurology Merritt.