Post-Traumatic Cerebral Infarction Following Low-Energy Penetrating Craniocerebral Injury Caused by a Nail

作者：Chen Po Chuan; Tsai Shih Hung; Chen Yu Long; Liao Wen I^*

来源：Journal of Korean Neurosurgical Society, 2014, 55(5): 293-295.

DOI：10.3340/jkns.2014.55.5.293

• Post-traumatic cerebral infarction
• Penetrating craniocerebral injury
• Nail injury
• Decompressive craniectomy
• Brain edema

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.

• 出版日期2014-5