Cerebral infarction secondary to temporal lobe herniation in head trauma: a CT study.
10.3348/jkrs.1992.28.6.810
- Author:
Jae Hyoung KIM
;
Eui Dong PARK
;
Hyung Jin KIM
;
Jong Woo HAN
;
Sung Hoon CHUNG
;
Choong Kun HA
;
Jae Il KIM
- Publication Type:Original Article
- MeSH:
Arteries;
Brain;
Cerebral Infarction*;
Choroid;
Craniocerebral Trauma*;
Glasgow Coma Scale;
Head*;
Humans;
Infarction;
Mortality;
Retrospective Studies;
Temporal Lobe*;
Tomography, X-Ray Computed
- From:Journal of the Korean Radiological Society
1992;28(6):810-816
- CountryRepublic of Korea
- Language:English
-
Abstract:
Cerebral infarction is a known complication of temporal lobe herniation caused by a traumatic intracranial lesion. To ascertain the frequency, time of recognition, and influence on mortality of posttraumatioc cerebral infarction secondary to temporal lobe herniation, we retrospectively reviewed brain CT scans and clinical records of 55 patients who had CT and clinical signs of temporal lobe herniation on admission date. Cerbral infarctions were recognized in seven (12.7%) patients on CT scans taken within two days after admission (mean: 1.3 days). Cerbral infarctions were in the terrtiories of the posterior cerbral artery in all seven patients, two of whom had infarctions of the anterior choroidal artery as well. Mortality (71.4%) for these seven patients was not statistically significant from that (50%) of patients without cerebral infarction admitted with the same range of Glasgow Coma Scale score. The result suggests that such cerebral infarction does not greatly influence atient's mortality.
