{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T18:43:53Z","timestamp":1788633833823,"version":"build-2803163510"},"reference-count":8,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"published-print":{"date-parts":[[2012,8]]},"abstract":"<jats:p>OBJETIVO: Analisar aspectos da epidemiologia, apresenta\u00e7\u00e3o cl\u00ednica e radiol\u00f3gica de pacientes com hematoma extradural traum\u00e1tico (HED) submetidos a procedimento neurocir\u00fargico. M\u00c9TODOS: Foi realizada a revis\u00e3o de prontu\u00e1rios de 210 pacientes admitidos no Servi\u00e7o de Emerg\u00eancia com HED diagnosticados atrav\u00e9s de tomografia computadorizada, tratados cirurgicamente no per\u00edodo de agosto de 1998 a janeiro de 2008. Foram analisados: idade, sexo, apresenta\u00e7\u00e3o cl\u00ednica e radiol\u00f3gica, mecanismo de trauma e status neurol\u00f3gico no momento da alta hospitalar. RESULTADOS: Em 49,2% o mecanismo de trauma foi queda; 89,2% dos pacientes eram do g\u00eanero masculino; 49,7% dos casos tinham Escala de Coma de Glasgow (ECG) entre 13-15; 61% dos pacientes tinham idade entre 20-49 anos; A localiza\u00e7\u00e3o do HED em 26,5% e 19,6% dos casos foi t\u00eamporo-parietal e temporal, respectivamente; 32,8% tinham les\u00f5es intracranianas associadas, sendo a fratura craniana evidenciada em cerca de 45% dos casos; 76,2% dos pacientes tratados cirurgicamente tiveram alta com d\u00e9ficit m\u00ednimo ou aus\u00eancia de d\u00e9ficit neurol\u00f3gico. CONCLUS\u00c3O: Observamos que o HED, na popula\u00e7\u00e3o de estudo, apresenta-se mais frequentemente no g\u00eanero masculino, na quarta d\u00e9cada de vida, mais relacionado \u00e0s quedas. Na admiss\u00e3o, observamos uma ECG entre 13 e 15, sendo pertinente mencionar o envolvimento da regi\u00e3o t\u00eamporo-parietal na maioria dos casos. Acreditamos que o conhecimento da epidemiologia do hematoma extradural traum\u00e1tico pode auxiliar na elabora\u00e7\u00e3o de medidas de sa\u00fade p\u00fablica, visando \u00e0 preven\u00e7\u00e3o e identifica\u00e7\u00e3o precoce desta doen\u00e7a em determinada popula\u00e7\u00e3o.<\/jats:p>","DOI":"10.1590\/s0100-69912012000400005","type":"journal-article","created":{"date-parts":[[2012,8,29]],"date-time":"2012-08-29T08:58:28Z","timestamp":1346230708000},"page":"268-271","source":"Crossref","is-referenced-by-count":21,"title":["An\u00e1lise epidemiol\u00f3gica de 210 casos de hematoma extradural traum\u00e1tico tratados cirurgicamente"],"prefix":"10.1590","volume":"39","author":[{"given":"Jo\u00e3o Luiz Vitorino","family":"Araujo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulisses do Prado","family":"Aguiar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre Bossi","family":"Todeschini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nelson","family":"Saade","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Carlos Esteves","family":"Veiga","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"issue":"1","key":"ref1","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.injury.2006.08.059","article-title":"Outcome of traumatic extradural haematoma in Hong Kong","volume":"38","author":"Cheung PS","year":"2007","journal-title":"Injury","ISSN":"https:\/\/id.crossref.org\/issn\/0020-1383","issn-type":"print"},{"issue":"2","key":"ref2","first-page":"113","article-title":"Hematoma extradural (considera\u00e7\u00f5es sobre 66 casos)","volume":"2","author":"Coimbra CJ","year":"1983","journal-title":"Arq bras neurocir","ISSN":"https:\/\/id.crossref.org\/issn\/0103-5355","issn-type":"print"},{"issue":"1","key":"ref3","first-page":"25","article-title":"Hematoma extradural intracraniano","volume":"16","author":"Pereira CU","year":"2005","journal-title":"J bras neurocir"},{"issue":"2","key":"ref4","first-page":"229","article-title":"Hematoma extradural: revisi\u00f3n de 100 casos operados","volume":"35","author":"Luna F","year":"1997","journal-title":"Rev chil neuro-psiquiatr"},{"issue":"1","key":"ref5","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1227\/00006123-198401000-00003","article-title":"Extradural hematoma: toward zero mortality. 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