Se revisan los datos clínicos y las TC de todos los pacientes con hematoma subdural agudo (HSDA) en coma sin intervalo lúcido ingresados en el hospital Vall d’Hebrón en el período de seis años 1979–1983. El total de HSDA en dicho período fue de 170 casos.
De los 88 pacientes en coma sin intervalo lúcido, en 10 casos se identificó en la TC lesiones características descritas por Zimmermann. Nueve pacientes habían sufrido un accidente de tráfico. Todos los pacientes fallecieron.
La demostración de las características descritas por Zimmermann en el HSD es una evidencia de que la lesión axonal también se puede establecer en pacientes con HSDA.
We reviewed the clinical records and CT scan reports of all patients with acute subdural hematoma (ASDH) (in coma whithout lucid interval) admited to Vall d’Hebrón hospital over the following six years 1979–1984. These were derived from a series of 170 cases of ASDH.
On 88 consecutive patients who lost consciousness on impact, we identified 10 (11.3%) who had Zimmermann’s findings on the CT scan. Nine patients were involved in road traffic accidents. All patients died.
The demostration of Zimmerman’s findings by CT in ASDH is a evidence that diffuse axonal injury can also be found in patients with ASDH.
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