Brain Contusion

Aka: Brain Contusion

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II. Pathophysiology

  1. Severe Head Injury

III. Signs

  1. General
    1. Focal neurologic deficits
    2. Prolonged coma
  2. Brainstem Contusion
    1. Decerebrate rigidity
    2. Unequal dilated pupils
    3. Coma

IV. Imaging

  1. CT Head (at presention and repeated in 12 hours)
    1. Cerebral Necrosis
    2. Edema
    3. Intraparenchymal Hemorrhage

V. Management

  1. Emergent Neurosurgical Consultation

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