Massive ishaemic stroke as a fatal consequence of a mild head trauma - case report

被引:0
作者
Marcikic, M. [1 ]
Sapina, L. [2 ]
Bitunjac, M. [2 ]
Dikanovic, M. [2 ]
机构
[1] Opca Bolnica Dr Josip Bencevic, Odjel Kirurgiju, Odsjek Neurokirurgiju, Slavonski Brod 55000, Croatia
[2] Opca Bolnica Dr Josip Bencevic, Odjel Neurol, Slavonski Brod 55000, Croatia
来源
NEUROLOGIA CROATICA | 2010年 / 59卷 / 3-4期
关键词
stroke; trauma; head injury; ARTERY DISSECTIONS; MANAGEMENT; OCCLUSION; DIAGNOSIS;
D O I
暂无
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Posttraumatic ischemic stroke after minor head injury is a rare and unexpected event. There are 65 cases of middle cerebral artery (MCA) occlusion described in the literature. Arterial dissection, cerebral vasospasm and thrombosis have been postulated as the possible pathogenetic mechanism. A case is presented of a 40-year-old man having sustained a minor head injury as a driver in a car accident. Twenty-four hours after the accident, he became soporous and was admitted to intensive care unit, where magnetic resonance imaging revealed mild brain edema on the left side with slight shift on the opposite side. He was transferred to our institution. Control computed tomography (CT) scan revealed edema and shift progression. Two days later, repeat CT scan showed further progression and the patient underwent decompression craniotomy; the patient died in two days. This case report points to the need of due attention be paid in any case of minor head injury where complications develop within 24 hours because a relatively mild head injury may be a cause and co-factor in the etiology of fatal stroke.
引用
收藏
页码:161 / 165
页数:5
相关论文
共 50 条
  • [31] Occipital aneurysmal bone cyst rupture following head trauma: case report
    Garber, Sarah T.
    Riva-Cambrin, Jay K.
    JOURNAL OF NEUROSURGERY-PEDIATRICS, 2015, 15 (03) : 272 - 275
  • [32] Fatal Tetanus Complicating an Untreated Mild Open Head Injury: A Case-Illustrated Review of Cephalic Tetanus
    Adeleye, Amos O.
    Azeez, Abiodun L.
    SURGICAL INFECTIONS, 2012, 13 (05) : 317 - 320
  • [33] Stroke as a rare consequence of scorpion sting and scorpion ingestion: A case report from South East Nigeria
    Eze, Chukwuemeka Okorie
    Onwuekwe, Ikenna
    Ekenze, Oluchi
    ANNALS OF TROPICAL MEDICINE AND PUBLIC HEALTH, 2014, 7 (04) : 202 - 205
  • [34] Massive retroperitoneal hematoma caused by intercostal artery bleeding after blunt trauma: a case report
    Zhu, Ran
    Liu, Xiangtian
    Li, Xiaoli
    Ye, Liping
    JOURNAL OF CARDIOTHORACIC SURGERY, 2024, 19 (01)
  • [35] A life-threatening, massive subcutaneous hematoma caused by trauma in a patient with neurofibromatosis type 1: a case report and literature review
    Zhang, Lu
    Wang, Xingtong
    Yin, Huinan
    Chu, Wanli
    Zhang, Ming
    Zhu, Minhui
    Shi, Zhiyuan
    Chen, Zequn
    Zhao, Fan
    FRONTIERS IN ONCOLOGY, 2024, 14
  • [36] Orthostatic tremor after knee contusion without head trauma: A rare case report
    Kim, San-Ha
    Han, Jae-Young
    Song, Min-Keun
    Choi, In Sung
    Park, Hyeng-Kyu
    TURKISH JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION, 2023, 69 (01) : 111 - 115
  • [37] A Fatal Case of Acute Renal Failure From Envenoming Syndrome After Massive Bee Attack A Case Report and Literature Review
    Hughes, Rhome L.
    AMERICAN JOURNAL OF FORENSIC MEDICINE AND PATHOLOGY, 2019, 40 (01) : 52 - 57
  • [38] Fetal epidural hematoma secondary to a mild blunt prenatal trauma: case report and review of the literature
    Gontijo Germano, Jordana Rodovalho
    Tavares de Melo, Ana Clara
    Ribeiro, Ligia Gonsalves
    Franco, Cilmaria Leite
    Jube Ribeiro, Paulo Ronaldo
    Morais, Barbara Albuquerque
    CHILDS NERVOUS SYSTEM, 2022, 38 (03) : 683 - 686
  • [39] Surgical Treatment of a Massive Neurofibroma of the Head and Neck in a Patient with Neurofibromatosis Type 1: A Case Report
    Qin, Haiyan
    Chen, Wanying
    Kong, Jiao
    Chen, Feifei
    Wen, Xiaoqiang
    Li, Zhuonan
    Zhang, Lianbo
    INTERNATIONAL JOURNAL OF MORPHOLOGY, 2018, 36 (01): : 194 - 200
  • [40] Contralateral Massive Neonatal Arterial Ischemic Stroke Secondary to Carotid Artery Dissection: A Case Report
    Elgendy, Marwa M.
    Cortez, Josef
    CUREUS JOURNAL OF MEDICAL SCIENCE, 2023, 15 (11)