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Corticoterapia em altas doses no traumatizado medular – benefício ou prejuízo?
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Orientador(es)
Resumo(s)
Sequelae of the traumatic injuries
to the spinal cord represent a
high personal, family and social
damage. Since 1984, it has been
investigated and considered that
the treatment with sodium succinate
methylprednisolone in high doses
was a solution to revert or to prevent
the aggravation of such injuries. We
present a revision of literature on
this subject. It is well established
that this therapeutic has a high rate
of complications, but concerning its
advantages and real effectiveness,
there is no agreement between
paper authors. While some defend
it, others state that this is a total
contraindication in this pathology.
There are already some medical
centers worldwide that do not use
it. In Portugal, the practice of its
administration is generalized. Not to
do it could be difficult to defend in a
litigation situation. But are we really
helping our patients with it?
Descrição
Palavras-chave
Traumatismos da Medula Espinal Corticosteróides
Contexto Educativo
Citação
COLUNA/COLUMNA. 2010;9(4):462-465