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o

Intraparenchymal

o Intracranial hypertension, ûfocal signs; often a severe injury

• Intracranial hypertension

Cerebral edema, hydrocephalus, massive hematoma

See p. 162. Risk of herniation

• Ischemia

Vasospasm, arterial dissection, fat embolism

Acute focal signs

• Epileptic seizure

Focal or generalized

Common in focal injury

• Infection

CSF leak, open head injury

Recurrent meningitis, encephalitis, empyema, abscess, ventriculitis

• Amnesia

Anterograde/retrograde

See p. 134

General

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