HERIDA POR ARMA CORTOPUNZANTE EN COLUMNA TORÁCICA COMO CAUSA DE HEMORRAGIA INTRAVENTRICULAR.
DOI:
https://doi.org/10.51437/nj.v26i2.156Keywords:
Hemorragia Cerebral Intraventricular, Líquido Cefalorraquídeo, Hidrocefalia, Traumatismos Vertebrales, Heridas Penetrantes.Abstract
La hemorragia intraventricular(HIV) se divide en primaria y secundaria dependiendo de la fuente involucrada en el sangrado; el ventrículo propiamente dicho o cualquier sitio extraventricular respectivamente, siendo la última mucho más frecuente su presentación. tiene origen en una multiplicidad de causas, algunas tan frecuentes como lesiones vasculares e hipertensión arterial y trauma craneoencefálico y otras raras como lesiones infecciosas y PRESS. No se encuentra descripción en la literatura de HIV secundario a herida en columna torácica por arma cortopunzante. La presentación clínica va desde leve compromiso neurológico hasta muerte súbita, siendo la cefalea y deterioro del estado de conciencia los síntomas más sobresalientes. La hipótesis de cómo llega el sangrado a los ventrículos desde una herida por arma cortopunzante en la columna torácica nos remite a la discusión de la dinámica del flujo del Líquido Cefalorraquídeo (LCR).
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