Traumas Neurologicos Flashcards

1
Q

Qual é a etiopatogenia da LESAO AXONAL DIFUSA ?

A

DESACELERACAO de estruturas adjacentes de diferentes “momentos “ substancia branca cinzenta -> neurônio tem seu axônio rompido -> secreção glutamato -> aumento da atv met dos neurônios sobreviventes

lesão axonal difusa

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2
Q

Quais sao as medidas terapêuticas para o LAD ?

Qual é o pico da atividade citotoxica ?

A

–> sedaçao ( mesmo em coma! ) -> diminuir atv metab neuronal

–> decubito 30 graus ( mas c cervical reta s/ compressao das Jug)

-> medidas p diminuir edema cerebral ( falencia de Na/K -> influxo celular de agua )

pico da atv citotoxica 48 hrs

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3
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5
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6
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7
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8
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9
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10
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11
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12
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13
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14
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15
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16
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20
Q

Em quanto tempo deve operar uma spinal fracture / “trauma raquimedular “ ?

A

em até 72hrs