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Hérnia cerebral – Wikipédia, a enciclopédia livre

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class="vector-toc-contents" id="mw-panel-toc-list"> <li id="toc-mw-content-text" class="vector-toc-list-item vector-toc-level-1"> <a href="#" class="vector-toc-link"> <div class="vector-toc-text">Início</div> </a> </li> <li id="toc-Referências" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Referências"> <div class="vector-toc-text"> <span class="vector-toc-numb">1</span> <span>Referências</span> </div> </a> <ul id="toc-Referências-sublist" class="vector-toc-list"> </ul> </li> </ul> </div> </div> </nav> </div> </div> <div class="mw-content-container"> <main id="content" class="mw-body"> <header class="mw-body-header vector-page-titlebar"> <nav aria-label="Conteúdo" class="vector-toc-landmark"> <div id="vector-page-titlebar-toc" class="vector-dropdown vector-page-titlebar-toc vector-button-flush-left" > <input type="checkbox" id="vector-page-titlebar-toc-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-vector-page-titlebar-toc" class="vector-dropdown-checkbox " aria-label="Alternar o índice" > <label id="vector-page-titlebar-toc-label" for="vector-page-titlebar-toc-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--icon-only " aria-hidden="true" ><span class="vector-icon mw-ui-icon-listBullet mw-ui-icon-wikimedia-listBullet"></span> <span class="vector-dropdown-label-text">Alternar o índice</span> </label> <div class="vector-dropdown-content"> <div id="vector-page-titlebar-toc-unpinned-container" class="vector-unpinned-container"> </div> </div> </div> </nav> <h1 id="firstHeading" class="firstHeading mw-first-heading"><span class="mw-page-title-main">Hérnia cerebral</span></h1> <div id="p-lang-btn" class="vector-dropdown mw-portlet mw-portlet-lang" > <input type="checkbox" id="p-lang-btn-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-p-lang-btn" class="vector-dropdown-checkbox mw-interlanguage-selector" aria-label="Ir para um artigo noutra língua. Disponível em 18 línguas" > <label id="p-lang-btn-label" for="p-lang-btn-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--action-progressive mw-portlet-lang-heading-18" aria-hidden="true" ><span class="vector-icon mw-ui-icon-language-progressive mw-ui-icon-wikimedia-language-progressive"></span> <span class="vector-dropdown-label-text">18 línguas</span> </label> <div class="vector-dropdown-content"> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li class="interlanguage-link interwiki-ar mw-list-item"><a href="https://ar.wikipedia.org/wiki/%D9%81%D8%AA%D9%82_%D8%A7%D9%84%D8%AF%D9%85%D8%A7%D8%BA" title="فتق الدماغ — árabe" lang="ar" hreflang="ar" data-title="فتق الدماغ" data-language-autonym="العربية" data-language-local-name="árabe" class="interlanguage-link-target"><span>العربية</span></a></li><li class="interlanguage-link interwiki-ca mw-list-item"><a href="https://ca.wikipedia.org/wiki/H%C3%A8rnia_cerebral" title="Hèrnia cerebral — catalão" lang="ca" hreflang="ca" data-title="Hèrnia cerebral" data-language-autonym="Català" data-language-local-name="catalão" class="interlanguage-link-target"><span>Català</span></a></li><li class="interlanguage-link interwiki-de mw-list-item"><a href="https://de.wikipedia.org/wiki/Hirneinklemmung" title="Hirneinklemmung — alemão" lang="de" hreflang="de" data-title="Hirneinklemmung" data-language-autonym="Deutsch" data-language-local-name="alemão" class="interlanguage-link-target"><span>Deutsch</span></a></li><li class="interlanguage-link interwiki-en mw-list-item"><a href="https://en.wikipedia.org/wiki/Brain_herniation" title="Brain herniation — inglês" lang="en" hreflang="en" data-title="Brain herniation" data-language-autonym="English" data-language-local-name="inglês" class="interlanguage-link-target"><span>English</span></a></li><li class="interlanguage-link interwiki-es mw-list-item"><a href="https://es.wikipedia.org/wiki/Hernia_cerebral" title="Hernia cerebral — espanhol" lang="es" hreflang="es" data-title="Hernia cerebral" data-language-autonym="Español" data-language-local-name="espanhol" class="interlanguage-link-target"><span>Español</span></a></li><li class="interlanguage-link interwiki-fa mw-list-item"><a href="https://fa.wikipedia.org/wiki/%D9%81%D8%AA%D9%82_%D9%85%D8%BA%D8%B2%DB%8C" title="فتق مغزی — persa" lang="fa" hreflang="fa" data-title="فتق مغزی" data-language-autonym="فارسی" data-language-local-name="persa" class="interlanguage-link-target"><span>فارسی</span></a></li><li class="interlanguage-link interwiki-fr mw-list-item"><a href="https://fr.wikipedia.org/wiki/Engagement_c%C3%A9r%C3%A9bral" title="Engagement cérébral — francês" lang="fr" hreflang="fr" data-title="Engagement cérébral" data-language-autonym="Français" data-language-local-name="francês" class="interlanguage-link-target"><span>Français</span></a></li><li class="interlanguage-link interwiki-it mw-list-item"><a href="https://it.wikipedia.org/wiki/Ernia_cerebrale" title="Ernia cerebrale — italiano" lang="it" hreflang="it" data-title="Ernia cerebrale" data-language-autonym="Italiano" data-language-local-name="italiano" class="interlanguage-link-target"><span>Italiano</span></a></li><li class="interlanguage-link interwiki-ja mw-list-item"><a href="https://ja.wikipedia.org/wiki/%E8%84%B3%E3%83%98%E3%83%AB%E3%83%8B%E3%82%A2" title="脳ヘルニア — japonês" lang="ja" hreflang="ja" data-title="脳ヘルニア" data-language-autonym="日本語" data-language-local-name="japonês" class="interlanguage-link-target"><span>日本語</span></a></li><li class="interlanguage-link interwiki-ko mw-list-item"><a href="https://ko.wikipedia.org/wiki/%EB%87%8C%ED%83%88%EC%B6%9C" title="뇌탈출 — coreano" lang="ko" hreflang="ko" data-title="뇌탈출" data-language-autonym="한국어" data-language-local-name="coreano" class="interlanguage-link-target"><span>한국어</span></a></li><li class="interlanguage-link interwiki-pl mw-list-item"><a href="https://pl.wikipedia.org/wiki/Wg%C5%82obienie_m%C3%B3zgu" title="Wgłobienie mózgu — polaco" lang="pl" hreflang="pl" data-title="Wgłobienie mózgu" data-language-autonym="Polski" data-language-local-name="polaco" class="interlanguage-link-target"><span>Polski</span></a></li><li class="interlanguage-link interwiki-ru mw-list-item"><a href="https://ru.wikipedia.org/wiki/%D0%94%D0%B8%D1%81%D0%BB%D0%BE%D0%BA%D0%B0%D1%86%D0%B8%D1%8F_%D0%BC%D0%BE%D0%B7%D0%B3%D0%B0" title="Дислокация мозга — russo" lang="ru" hreflang="ru" data-title="Дислокация мозга" data-language-autonym="Русский" data-language-local-name="russo" class="interlanguage-link-target"><span>Русский</span></a></li><li class="interlanguage-link interwiki-sv mw-list-item"><a href="https://sv.wikipedia.org/wiki/Hj%C3%A4rnkompression" title="Hjärnkompression — sueco" lang="sv" hreflang="sv" data-title="Hjärnkompression" data-language-autonym="Svenska" data-language-local-name="sueco" class="interlanguage-link-target"><span>Svenska</span></a></li><li class="interlanguage-link interwiki-sw mw-list-item"><a href="https://sw.wikipedia.org/wiki/Kupenyeza_kwa_ubongo" title="Kupenyeza kwa ubongo — suaíli" lang="sw" hreflang="sw" data-title="Kupenyeza kwa ubongo" data-language-autonym="Kiswahili" data-language-local-name="suaíli" class="interlanguage-link-target"><span>Kiswahili</span></a></li><li class="interlanguage-link interwiki-th mw-list-item"><a href="https://th.wikipedia.org/wiki/%E0%B8%81%E0%B8%B2%E0%B8%A3%E0%B9%80%E0%B8%A5%E0%B8%B7%E0%B9%88%E0%B8%AD%E0%B8%99%E0%B8%9C%E0%B8%B4%E0%B8%94%E0%B8%9B%E0%B8%A3%E0%B8%81%E0%B8%95%E0%B8%B4%E0%B8%82%E0%B8%AD%E0%B8%87%E0%B8%AA%E0%B8%A1%E0%B8%AD%E0%B8%87" title="การเลื่อนผิดปรกติของสมอง — tailandês" lang="th" hreflang="th" data-title="การเลื่อนผิดปรกติของสมอง" data-language-autonym="ไทย" data-language-local-name="tailandês" class="interlanguage-link-target"><span>ไทย</span></a></li><li class="interlanguage-link interwiki-tr mw-list-item"><a href="https://tr.wikipedia.org/wiki/Beyin_herniasyonu" title="Beyin herniasyonu — turco" lang="tr" hreflang="tr" data-title="Beyin herniasyonu" data-language-autonym="Türkçe" data-language-local-name="turco" class="interlanguage-link-target"><span>Türkçe</span></a></li><li class="interlanguage-link interwiki-uk mw-list-item"><a href="https://uk.wikipedia.org/wiki/%D0%94%D0%B8%D1%81%D0%BB%D0%BE%D0%BA%D0%B0%D1%86%D1%96%D1%8F_%D0%BC%D0%BE%D0%B7%D0%BA%D1%83" title="Дислокація мозку — ucraniano" lang="uk" hreflang="uk" data-title="Дислокація мозку" data-language-autonym="Українська" data-language-local-name="ucraniano" class="interlanguage-link-target"><span>Українська</span></a></li><li class="interlanguage-link interwiki-zh mw-list-item"><a href="https://zh.wikipedia.org/wiki/%E8%85%A6%E7%96%9D" title="腦疝 — chinês" lang="zh" hreflang="zh" data-title="腦疝" data-language-autonym="中文" data-language-local-name="chinês" class="interlanguage-link-target"><span>中文</span></a></li> </ul> <div class="after-portlet after-portlet-lang"><span class="wb-langlinks-edit wb-langlinks-link"><a href="https://www.wikidata.org/wiki/Special:EntityPage/Q1297985#sitelinks-wikipedia" title="Editar hiperligações interlínguas" class="wbc-editpage">Editar hiperligações</a></span></div> </div> </div> </div> </header> <div class="vector-page-toolbar"> <div class="vector-page-toolbar-container"> <div id="left-navigation"> <nav aria-label="Espaços nominais"> <div id="p-associated-pages" class="vector-menu vector-menu-tabs mw-portlet mw-portlet-associated-pages" > <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li id="ca-nstab-main" class="selected vector-tab-noicon mw-list-item"><a href="/wiki/H%C3%A9rnia_cerebral" title="Ver a página de conteúdo [c]" accesskey="c"><span>Artigo</span></a></li><li id="ca-talk" class="new vector-tab-noicon mw-list-item"><a href="/w/index.php?title=Discuss%C3%A3o:H%C3%A9rnia_cerebral&amp;action=edit&amp;redlink=1" rel="discussion" 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class="vector-body-before-content"> <div class="mw-indicators"> </div> <div id="siteSub" class="noprint">Origem: Wikipédia, a enciclopédia livre.</div> </div> <div id="contentSub"><div id="mw-content-subtitle"></div></div> <div id="mw-content-text" class="mw-body-content"><div class="mw-content-ltr mw-parser-output" lang="pt" dir="ltr"><table class="infobox infobox_v2" cellpadding="3" border="0" style="width: 20em; text-align: left; font-size: 88%;;width: 26em;"> <tbody><tr> <th colspan="2" class="topo padrao" style="text-align:center;"><span class="">Hérnia cerebral</span> </th></tr> <tr> <td colspan="2" style="text-align:center;"><div style="padding-bottom: 5px;"><figure class="mw-halign-center" typeof="mw:File"><a href="/wiki/Ficheiro:Brain_herniation_MRI.jpg" class="mw-file-description" title="Hérnia cerebral"><img alt="" src="//upload.wikimedia.org/wikipedia/commons/thumb/5/5c/Brain_herniation_MRI.jpg/300px-Brain_herniation_MRI.jpg" decoding="async" width="300" height="342" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/5/5c/Brain_herniation_MRI.jpg 1.5x" data-file-width="396" data-file-height="452" /></a><figcaption>Hérnia cerebral</figcaption></figure></div>Imagem por <a href="/wiki/Resson%C3%A2ncia_magn%C3%A9tica" class="mw-redirect" title="Ressonância magnética">ressonância magnética</a> de lesões causadas por uma hérnia cerebral </td></tr> <tr> <td scope="row" style="vertical-align: top; text-align: left; font-weight:bold;"><a href="/wiki/Especialidade_m%C3%A9dica" class="mw-redirect" title="Especialidade médica">Especialidade</a> </td> <td style="vertical-align: top; text-align: left;"><span><span><a href="/wiki/Neurologia" title="Neurologia">neurologia</a></span>, <span><a href="/wiki/Neurocirurgia" title="Neurocirurgia">neurocirurgia</a></span></span> </td></tr> <tr> <th colspan="2" style="text-align:center; background-color:transparent;">Classificação e recursos externos </th></tr> <tr> <td scope="row" style="vertical-align: top; text-align: left; font-weight:bold;"><b><a href="/wiki/CID" class="mw-redirect" title="CID">CID</a>-<a href="/wiki/Lista_de_c%C3%B3digos_da_CID-10" class="mw-redirect" title="Lista de códigos da CID-10">10</a></b> </td> <td style="vertical-align: top; text-align: left;"><a rel="nofollow" class="external text" href="https://icd.who.int/browse10/2019/en#/G93.5">G93.5</a> </td></tr> <tr> <td scope="row" style="vertical-align: top; text-align: left; font-weight:bold;"><b><a href="/wiki/CID" class="mw-redirect" title="CID">CID</a>-<a href="/wiki/CID-9" class="mw-redirect" title="CID-9">9</a></b> </td> <td style="vertical-align: top; text-align: left;"><span class="plainlinks"><a rel="nofollow" class="external text" href="http://www.icd9data.com/getICD9Code.ashx?icd9=348.4">348.4</a></span> </td></tr> <tr> <td scope="row" style="vertical-align: top; text-align: left; font-weight:bold;"><b><a href="/wiki/CID" class="mw-redirect" title="CID">CID</a>-<a href="/wiki/CID-11" class="mw-redirect" title="CID-11">11</a></b> </td> <td style="vertical-align: top; text-align: left;"><a rel="nofollow" class="external text" href="https://icd.who.int/browse/latest-release/mms/pt#906840560">906840560</a> </td></tr> <tr> <td scope="row" style="vertical-align: top; text-align: left; font-weight:bold;"><b><a href="/wiki/MedlinePlus" title="MedlinePlus">MedlinePlus</a></b> </td> <td style="vertical-align: top; text-align: left;"><a rel="nofollow" class="external text" href="http://www.nlm.nih.gov/medlineplus/ency/article/001421.htm">001421</a> </td></tr> <tr> <td scope="row" style="vertical-align: top; text-align: left; font-weight:bold;"><b><a href="/wiki/EMedicine" title="EMedicine">eMedicine</a></b> </td> <td style="vertical-align: top; text-align: left;"><a rel="nofollow" class="external text" href="http://www.emedicine.com/radio/topic98.htm">radio/98</a> </td></tr> <tr> <td colspan="2" style="text-align:center; background-color:transparent;"><span typeof="mw:File"><a href="/wiki/Wikip%C3%A9dia:Aviso_m%C3%A9dico" title="A Wikipédia não é um consultório médico."><img alt="A Wikipédia não é um consultório médico." src="//upload.wikimedia.org/wikipedia/commons/thumb/d/d5/Star_of_life_caution.svg/24px-Star_of_life_caution.svg.png" decoding="async" width="24" height="22" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/d/d5/Star_of_life_caution.svg/36px-Star_of_life_caution.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/d/d5/Star_of_life_caution.svg/48px-Star_of_life_caution.svg.png 2x" data-file-width="210" data-file-height="190" /></a></span>&#160;<a href="/wiki/Wikip%C3%A9dia:Aviso_m%C3%A9dico" title="Wikipédia:Aviso médico"><b>Leia o aviso médico</b></a><span style="padding-left:1em;">&#160;</span> </td></tr> </tbody></table> <p><b>Hérnia cerebral</b> é um efeito secundário potencialmente mortal de <a href="/wiki/Press%C3%A3o_intracraniana" title="Pressão intracraniana">pressão intracraniana</a>&#160;muito elevada, que ocorre quando parte do <a href="/wiki/C%C3%A9rebro" title="Cérebro">cérebro</a> é pressionada contra as estruturas do <a href="/wiki/Cr%C3%A2nio" title="Crânio">crânio</a>. O cérebro pode atravessar estas estruturas, como o <i><a href="/wiki/Falx_cerebri" class="mw-redirect" title="Falx cerebri">falx cerebri</a></i>, o <i><a href="/w/index.php?title=Tentorium_cerebelli&amp;action=edit&amp;redlink=1" class="new" title="Tentorium cerebelli (página não existe)">tentorium cerebelli</a></i> e até mesmo o <i><a href="/wiki/Foramen_magnum" title="Foramen magnum">foramen magnum</a></i> (o orifício na base do cérebro pelo qual a <a href="/wiki/Espinal_medula" class="mw-redirect" title="Espinal medula">espinal medula</a> se liga ao cérebro).<sup id="cite_ref-Barr07_1-0" class="reference"><a href="#cite_note-Barr07-1"><span>[</span>1<span>]</span></a></sup> Em muitos casos a hérnia cerebral apresenta-se com <a href="/wiki/Postura_anormal" title="Postura anormal">postura anormal</a>, indicativa de lesões no cérebro.<sup id="cite_ref-Gruen02_2-0" class="reference"><a href="#cite_note-Gruen02-2"><span>[</span>2<span>]</span></a></sup> Pode também ocorrer alteração do estado de consciência, com <a href="/wiki/Escala_de_coma_de_Glasgow" title="Escala de coma de Glasgow">Escala de coma de Glasgow</a> entre 3 e 5.<sup id="cite_ref-Gruen02_2-1" class="reference"><a href="#cite_note-Gruen02-2"><span>[</span>2<span>]</span></a></sup> As pupilas podem-se apresentar dilatadas e não reagir à luz.<sup id="cite_ref-Gruen02_2-2" class="reference"><a href="#cite_note-Gruen02-2"><span>[</span>2<span>]</span></a></sup> </p><p>Uma hérnia cerebral pode ser causada por diversos factores que causam um efeito de massa e aumentam a <a href="/wiki/Press%C3%A3o_intracraniana" title="Pressão intracraniana">pressão intracraniana</a> (PIC), entre os quais <a href="/wiki/Traumatismo_cranioencef%C3%A1lico" title="Traumatismo cranioencefálico">traumatismo cranioencefálico</a>, <a href="/wiki/Hemorragia_intracraniana" title="Hemorragia intracraniana">hemorragia intracraniana</a> ou <a href="/wiki/Tumor_cerebral" title="Tumor cerebral">tumor cerebral</a>.<sup id="cite_ref-Barr07_1-1" class="reference"><a href="#cite_note-Barr07-1"><span>[</span>1<span>]</span></a></sup> Pode também ocorrer na ausência de PIC elevada na sequência da ocorrência de lesões de massa, como <a href="/wiki/Hematoma" title="Hematoma">hematomas</a>, nas margens dos compartimentos do cérebro. Nestes casos, a pressão local encontra-se aumentada no local da hérnia, mas a pressão não é transmitida para o resto do cérebro, pelo que não se regista um aumento da PIC.<sup id="cite_ref-Gruen02_2-3" class="reference"><a href="#cite_note-Gruen02-2"><span>[</span>2<span>]</span></a></sup> </p><p>O tratamento consiste na remoção cirúrgica da massa etiológica e <a href="/wiki/Craniectomia_descompressiva" title="Craniectomia descompressiva">craniectomia descompressiva</a>. Uma hérnia cerebral pode causar deficiência grave ou morte. Quando a hérnia é visível numa <a href="/wiki/TAC" class="mw-redirect" title="TAC">TAC</a>, o prognóstico neurológico é geralmente desfavorável.<sup id="cite_ref-Gruen02_2-4" class="reference"><a href="#cite_note-Gruen02-2"><span>[</span>2<span>]</span></a></sup> </p><p><br /> </p> <h2 id="Referências" style="cursor: help;" title="Esta seção foi configurada para não ser editável diretamente. Edite a página toda ou a seção anterior em vez disso."><span id="Refer.C3.AAncias"></span>Referências</h2> <div class="reflist" style="list-style-type: decimal;"><div class="mw-references-wrap"><ol class="references"> <li id="cite_note-Barr07-1"><span class="mw-cite-backlink">↑ <sup><i><b><a href="#cite_ref-Barr07_1-0">a</a></b></i></sup> <sup><i><b><a href="#cite_ref-Barr07_1-1">b</a></b></i></sup></span> <span class="reference-text"><cite class="citation book">Barr RM, Gean AD, Le TH (2007). «Craniofacial trauma». In: Brant WE, Helms CA. <a rel="nofollow" class="external text" href="https://books.google.com/books?id=Sossht2t5XwC&amp;pg=PA53&amp;lpg=PA53&amp;dq=extra-axial+intra-axial"><i>Fundamentals of Diagnostic Radiology</i></a>. Philadelphia: Lippincott, Williams &amp; Wilkins. p.&#160;69. <a href="/wiki/International_Standard_Book_Number" title="International Standard Book Number">ISBN</a>&#160;<a href="/wiki/Especial:Fontes_de_livros/0-7817-6135-2" title="Especial:Fontes de livros/0-7817-6135-2">0-7817-6135-2</a><span class="reference-accessdate">. Consultado em 17 de novembro de 2008</span></cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fpt.wikipedia.org%3AH%C3%A9rnia+cerebral&amp;rft.atitle=Craniofacial+trauma&amp;rft.au=Gean%2C+AD&amp;rft.au=Le%2C+TH&amp;rft.aufirst=RM&amp;rft.aulast=Barr&amp;rft.btitle=Fundamentals+of+Diagnostic+Radiology&amp;rft.date=2007&amp;rft.genre=bookitem&amp;rft.isbn=0-7817-6135-2&amp;rft.pages=69&amp;rft.place=Philadelphia&amp;rft.pub=Lippincott%2C+Williams+%26+Wilkins&amp;rft_id=https%3A%2F%2Fbooks.google.com%2Fbooks%3Fid%3DSossht2t5XwC%26pg%3DPA53%26lpg%3DPA53%26dq%3Dextra-axial%2Bintra-axial&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-Gruen02-2"><span class="mw-cite-backlink">↑ <sup><i><b><a href="#cite_ref-Gruen02_2-0">a</a></b></i></sup> <sup><i><b><a href="#cite_ref-Gruen02_2-1">b</a></b></i></sup> <sup><i><b><a href="#cite_ref-Gruen02_2-2">c</a></b></i></sup> <sup><i><b><a href="#cite_ref-Gruen02_2-3">d</a></b></i></sup> <sup><i><b><a href="#cite_ref-Gruen02_2-4">e</a></b></i></sup></span> <span class="reference-text"><cite class="citation journal">Gruen P (maio de 2002). «Surgical management of head trauma». <i>Neuroimaging Clinics of North America</i>. <b>12</b> (2): 339–43. <a href="/wiki/PubMed_Identifier" class="mw-redirect" title="PubMed Identifier">PMID</a>&#160;<a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/12391640">12391640</a>. <a href="/wiki/Digital_object_identifier" title="Digital object identifier">doi</a>:<a rel="nofollow" class="external text" href="https://dx.doi.org/10.1016%2FS1052-5149%2802%2900013-8">10.1016/S1052-5149(02)00013-8</a></cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fpt.wikipedia.org%3AH%C3%A9rnia+cerebral&amp;rft.atitle=Surgical+management+of+head+trauma&amp;rft.aufirst=P&amp;rft.aulast=Gruen&amp;rft.date=2002-05&amp;rft.genre=article&amp;rft.issue=2&amp;rft.jtitle=Neuroimaging+Clinics+of+North+America&amp;rft.pages=339-43&amp;rft.volume=12&amp;rft_id=info%3Adoi%2F10.1016%2FS1052-5149%2802%2900013-8&amp;rft_id=info%3Apmid%2F12391640&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> </ol></div></div> <ul class="noprint navigation-box" style="border-top: solid silver 1px; border-right: solid silver 1px; border-bottom:1px solid silver; border-left: solid silver 1px; padding:3px; background-color: #F9F9F9; text-align: center; margin-top:10px; margin-left: 0; clear: both;"><li style="display: inline;"><span style="white-space: nowrap; margin: auto 1.5em"><span style="margin-right: 0.5em"><span typeof="mw:File"><a href="/wiki/Ficheiro:Star_of_life.svg" title="Portal da medicina"><img alt="" src="//upload.wikimedia.org/wikipedia/commons/thumb/a/ae/Star_of_life.svg/25px-Star_of_life.svg.png" decoding="async" width="25" height="24" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/a/ae/Star_of_life.svg/38px-Star_of_life.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/a/ae/Star_of_life.svg/50px-Star_of_life.svg.png 2x" data-file-width="198" data-file-height="192" /></a></span></span> <span style="font-weight:bold"><a href="/wiki/Portal:Medicina" title="Portal:Medicina">Portal da medicina</a></span></span></li> </ul> <!-- NewPP limit report Parsed by mw‐web.eqiad.main‐56895c6b89‐rg5mr Cached time: 20241104211926 Cache expiry: 2592000 Reduced expiry: false Complications: [] CPU time usage: 0.282 seconds Real time usage: 0.384 seconds Preprocessor visited node count: 3662/1000000 Post‐expand include size: 21026/2097152 bytes Template argument size: 3717/2097152 bytes Highest expansion depth: 17/100 Expensive parser function count: 1/500 Unstrip recursion depth: 0/20 Unstrip post‐expand size: 4302/5000000 bytes Lua time usage: 0.064/10.000 seconds Lua memory usage: 2047874/52428800 bytes Number of Wikibase entities loaded: 1/400 --> <!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 344.014 1 -total 63.25% 217.588 1 Predefinição:Info/Patologia 61.88% 212.863 1 Predefinição:Info 28.38% 97.622 1 Predefinição:Referências 13.10% 45.076 3 Predefinição:Valor_Wikidata 11.46% 39.436 1 Predefinição:Citar_livro 7.20% 24.783 1 Predefinição:Info/coordx 6.97% 23.969 1 Predefinição:Portal3 6.38% 21.948 1 Predefinição:Info/CoordStr 6.23% 21.420 1 Predefinição:Portal3/Portais --> <!-- Saved in parser cache with key ptwiki:pcache:idhash:5766456-0!canonical and timestamp 20241104211926 and revision id 60938416. 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