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J Korean Soc Emerg Med > Volume 22(5); 2011 > Article
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
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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