A Fatal Intracerebral Hemorrhage Complicated by Compartment Syndrome of the Upper Arm.
- Author:
In Bo HAN
1
;
Young Sun CHUNG
;
Dong Eun SHIN
;
Ryoong HUH
;
Sang Sup CHUNG
;
Jung Yong AHN
Author Information
1. Department of Neurosurgery, Pochon CHA University College of Medicine, Sungnam, Korea.
- Publication Type:Case Report
- Keywords:
Intracerebral hemorrhage;
Compartment syndrome;
Disseminated intravascular coagulation
- MeSH:
Acute Kidney Injury;
Adult;
Arm*;
Cerebral Hemorrhage*;
Compartment Syndromes*;
Dacarbazine;
Disseminated Intravascular Coagulation;
Early Diagnosis;
Female;
Humans;
Myalgia;
Renal Dialysis;
Resuscitation;
Rhabdomyolysis
- From:Journal of the Korean Society of Traumatology
2006;19(2):178-182
- CountryRepublic of Korea
- Language:English
-
Abstract:
Compartment syndrome has a wide spectrum from muscle pain to a life-threatening condition, such as acute renal failure and disseminated intravascular coagulation (DIC). Intracerebral hemorrhage (ICH) due to compartment syndrome has not been reported. We report a patient who presented with ICH leading to death. A 25-year-old female with no significant past history developed extensive compartment syndrome followed by rhabdomyolysis, acute renal failure, DIC, and ICH. Although the patient underwent a fasciotomy and hemodialysis and received aggressive resuscitation with massive transfusions of blood and intravenous fluids, she died. This case stresses the importance of early diagnosis and prompt treatment of compartment syndrome to prevent devastating complications.