Citation

Chen PC, Tsai SH, Chen YL, Liao WI. J. Korean Neurosurg. Soc. 2014; 55(5): 293-295.

Affiliation

Department of Emergency Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

Copyright

(Copyright © 2014, Korean Neurosurgical Society)

DOI

10.3340/jkns.2014.55.5.293

PMID

25132939

PMCID

PMC4130958

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.

Language: en