J Korean Soc Emerg Med.
2011 Oct;22(5):575-579.
Two Cases of Post Traumatic Cerebral Infarction in Head Injury
- Affiliations
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- 1Department of Emergency Medicine, Chosun University Hospital, Gwangju, Korea. chosooh@naver.com
Abstract
- We present cases of post traumatic infarction after head injury. Two patients were admitted to our emergency room after traffic accidents. They developed neurological deficiency after a few hours to days after the accidents. In both cases, an initial computed tomography scan of the head was normal. A follow-up computed tomography obtained later revealed a hypodense lesion at cerebral hemisphere and a diffusion-weighted magnetic resonance imaging disclosed an area of infarction. The patients were conservatively medicated. One patient died due to a medical complication and the other patient fully recovered in several weeks. Hospital admission, careful observation and early diffusion-weighted magnetic resonance examination should be considered for patients with persistent neurological deficits.
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