Post-Traumatic Cerebral Infarction Following Low-Energy Penetrating Craniocerebral Injury Caused by a Nail.
10.3340/jkns.2014.55.5.293
- Author:
Po Chuan CHEN
1
;
Shih Hung TSAI
;
Yu Long CHEN
;
Wen I LIAO
Author Information
1. Department of Emergency Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan. qqww0139@yahoo.com.tw
- Publication Type:Case Report
- Keywords:
Post-traumatic cerebral infarction;
Penetrating craniocerebral injury;
Nail injury;
Decompressive craniectomy;
Brain edema
- MeSH:
Brain;
Brain Edema;
Brain Injuries;
Cerebral Infarction*;
Craniocerebral Trauma*;
Decompressive Craniectomy;
Hematoma;
Humans;
Hypoxia, Brain;
Male;
Mortality
- From:Journal of Korean Neurosurgical Society
2014;55(5):293-295
- CountryRepublic of Korea
- Language:English
-
Abstract:
Post-traumatic cerebral infarction (PTCI) is a secondary insult which causes global cerebral hypoxia or hypoperfusion after traumatic brain injury, and carries a remarkable high mortality rate. PTCI is usually caused by blunt brain injury with gross hematoma and/or brain herniation. Herein, we present the case of a 91-year-old male who had sustained PTCI following a low-energy penetrating craniocerebral injury due to a nail without evidence of hematoma. The patient survived after a decompressive craniectomy, but permanent neurological damage occurred. This is the first case of profound PTCI following a low-energy penetrating craniocerebral nail injury and reminds clinicians of possibility this rare dreadful complication for care of head-injured patients.
