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The skull has constant volume, being sujected to small pressure flotations, fisiologically situated between 515 mmHg. Traumatic pathologies, such as cranioencephalic trauma (CET) may change those values resulting in diverse haematomas and causing intracranial hypertension (ICH). The present case report describes a case of a 59 year-old-woman with history of fall from her own height and abrupt decrease of conscious followed by agitation and desorientation. The computadorized tomography (CT) showed accute subdural and intracerebral haematoma with midline shift bigger than 5mm, justifying the emergencial decompressive craniectomy. Cranioplasty was then performed 20 days after the first intervention, avoiding thus Syndrome of the Trephined and its complications.

Craniectomia descompressiva para tratamento de hipertensão intracraniana secundária a trauma com posterior cranioplastia: