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Journal of The Korean Society of Emergency Medicine 2011;22(5): 575-579. |
Two Cases of Post Traumatic Cerebral Infarction in Head Injury |
Sun Pyo Kim, Dae Hyuk Choo, Gang Wook Lee, Woo Hyung Kim, Young Jin Park, Seong Jung Kim, Soo Hyung Cho, Nam Soo Cho |
Department of Emergency Medicine, Chosun University Hospital, Gwangju, Korea. chosooh@naver.com |
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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. |
Key words:
Head injury, Infarction |
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