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Samenvatting: Craniocerebrale traumata $3.20
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Samenvatting: Craniocerebrale traumata

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Samenvatting: Craniocerebrale traumata

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  • January 4, 2021
  • 9
  • 2020/2021
  • Other
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Neurologie
Docent: Rishi Panday


Craniocerebrale traumata
→ Beschadigingen van hoofd en hersenen




Inleiding
● Inleiding
● Commotio Cerebri
● Contusio Cerebri
● Schedelfracturen
● Cerebrale Hematomen
● Laattijdige gevolgen
● Casuïstiek




Inleiding
● Gesloten hersentraumata
- Lineaire versnelling ( klap op hoofd ) waarbij schedel wordt verplaatst, maar
hersenen blijven achter en botsen tegen de schedel.
- Abrupte afremming ( val ) waarbij schedel stopt, maar hersenen blijven
bewegen en tegen schedel botsen.
● Penetrerende hersentraumata
- Schotwonden
- Steekwonden
● Belangrijkste etiologie van cranio- cerebrale traumata zijn verkeersongevallen!




Commotio cerebri (=hersenschudding)
● Kortdurend bewustzijnsverlies (sec./15 min.)
● Retrograde amnesie: amnesie voor gebeurtenissen direct VOOR het ongeval.
● Anterograde amnesie = posttraumatische amnesie (PTA): amnesie voor
gebeurtenissen direct NA het ongeval.
- PTA<uur: snel herstel
● Hoofdpijn, braken, nausea(=misselijkheid) , maar geen neurologische uitval.
● Diagnose: anamnestisch/hetero-anamnestisch
● R/ observatie en rust , event. analgeticum.




1

, Neurologie
Docent: Rishi Panday



Contusio Cerebri (=hersenkneuzing)
● Schade van het hersenweefsel
● Coup en/of contre coup lesies
● Gelijkaardige symptomatologie als commotio, maar:
- Bewustzijnsverlies ( > 15 min.)
- Amnesie ( >1 uur, duurherstel)
- Hoofdpijn, braken, nausea
- Wel neurologische uitval
● Diagnose: anamnese,KNO (=klinisch neurologisch onderzoek) ,CT-scan, EEG
● R/ rust en observatie, analgeticum
● Frequent laattijdige gevolgen.




Hemorragische contusie zone:




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