Trauma craneoencefálico grave en covid-19

Abstract

Introduction: Cranioencephalic trauma includes any physical injury or functional deterioration of the cranial content, secondary to a sudden exchange of mechanical energy. According to severity in relation to its Glasgow Scale, it is classified as Mild, Moderate and Severe. It frequently causes cerebral contusion, lacerations, direct damage to the cranial nerves and hemorrhages located at the cortical and subcortical levels, its resolution is surgical through Decompressive Craniectomy, its complications include cerebral edema, intracranial hypertension and secondary cerebral injuries of systemic cause. The onslaught of the coronavirus has taken over the world, being on January 7, 2020, when the Chinese authorities identified as the causative agent of the new outbreak of viral pneumonia a new type of virus of the Coronaviridae family that has subsequently been called SARS-CoV2-2019 . Objective: To socialize the different clinical manifestations and complications that occur in patients with TBI associated with Covid-19. Results: Cranioencephalic Trauma requires the immediate detection and correction of secondary complications of systemic origin that aggravate the primary injury in which currently it is necessary to rule out covid-19 since the uncertainty of the diagnosis of Covid-19 that is associated with another pathology could lead To an erroneous count of COVID-19 deaths, especially because it presents nonspecific symptoms, the different prognostic scales to predict its severity are moderately suggestive that they can guide our treatment, but they do not present good sensitivity and their use is controversial as well. Established drug therapy holds great promise when applied early in the course of the disease, but its utility in advanced stages may be questionable. It can occur in any individual without a common base pattern, so we cannot rule it out in any patient who comes to our emergency service since it can be linked and aggravate any clinical or surgical disease as exhibited in the present case. Conclusiones: In TBI, immediate access to brain tomography is vital for immediate and timely management, since it depends on the access time to surgical resolution, which impacts the patient's prognosis. Despite the pandemic plus the demand for patients, it has been shown that serious head trauma can be adequately managed as long as coordination is maintained with the pre and intrahospital health system.