(Chen Po-Chuan) - Taiwan National Defense Medical Center Tri-Service General Hospital Department of Emergency Medicine
(Tsai Shih-Hung) - Taiwan National Defense Medical Center Tri-Service General Hospital Department of Emergency Medicine
(Chen Yu-Long) - Taiwan National Defense Medical Center Tri-Service General Hospital Department of Emergency Medicine
(Liao Wen-I) - Taiwan National Defense Medical Center Tri-Service General Hospital Department of Emergency Medicine
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.
Å°¿öµå
Post-traumatic cerebral infarction, Penetrating craniocerebral injury, Nail injury, Decompressive craniectomy, Brain edema
KMID :
1001920140550050293
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸
À¯È¿¼º°á°ú(Recomendation)