Case Report of Posttraumatic Middle Cerebral Artery Territory Infarct
Abstract A 27-year-old man had severe diffuse brain injury. The patient developed malignant right MCA territory infarction on second day. Emergency decompressive craniectomy was done. He was ventilated. He developed subdural hygroma on the opposite side that was drained. He improved slowly. He had h...
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| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2017-03-01
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| Series: | Indian Journal of Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1584594 |
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| author | Ajaya Kumar Ayyappan Unnithan |
| author_facet | Ajaya Kumar Ayyappan Unnithan |
| author_sort | Ajaya Kumar Ayyappan Unnithan |
| collection | DOAJ |
| description | Abstract
A 27-year-old man had severe diffuse brain injury. The patient developed malignant right MCA territory infarction on second day. Emergency decompressive craniectomy was done. He was ventilated. He developed subdural hygroma on the opposite side that was drained. He improved slowly. He had hydrocephalus. VP shunt was done. He became conscious but dependent. PEG was done for feeding. Cranioplasty was done for syndrome of trephined. The patent improved to a state of good cognition with residual motor aphasia and left hemiplegia.
Posttraumatic cerebral infarction is an indicator of poor prognosis. Vasospasm, intimal dissection, and thrombosis are the mechanisms. MCA territorial infarction is rare. Usual mechanism is impact of rotational forces on relatively fixed M1 segment on the posterior margin of lower wing of sphenoid, resulting in arterial dissection or intimal damage. |
| format | Article |
| id | doaj-art-9c9c9f4be76449acb75a9799ca1b68ca |
| institution | OA Journals |
| issn | 2277-954X 2277-9167 |
| language | English |
| publishDate | 2017-03-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj-art-9c9c9f4be76449acb75a9799ca1b68ca2025-08-20T02:18:28ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672017-03-01060105005410.1055/s-0036-1584594Case Report of Posttraumatic Middle Cerebral Artery Territory InfarctAjaya Kumar Ayyappan Unnithan0Mar Gregorios Memorial Muthoot Medical Centre, Kozhencherry, Kerala, IndiaAbstract A 27-year-old man had severe diffuse brain injury. The patient developed malignant right MCA territory infarction on second day. Emergency decompressive craniectomy was done. He was ventilated. He developed subdural hygroma on the opposite side that was drained. He improved slowly. He had hydrocephalus. VP shunt was done. He became conscious but dependent. PEG was done for feeding. Cranioplasty was done for syndrome of trephined. The patent improved to a state of good cognition with residual motor aphasia and left hemiplegia. Posttraumatic cerebral infarction is an indicator of poor prognosis. Vasospasm, intimal dissection, and thrombosis are the mechanisms. MCA territorial infarction is rare. Usual mechanism is impact of rotational forces on relatively fixed M1 segment on the posterior margin of lower wing of sphenoid, resulting in arterial dissection or intimal damage.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1584594diffuse brain injuryposttraumatic cerebral infarctionmiddle cerebral artery territory infarctiondecompressive craniectomysubdural hygromaburr holehydrocephalusvp shuntsyndrome of trephinedcranioplasty |
| spellingShingle | Ajaya Kumar Ayyappan Unnithan Case Report of Posttraumatic Middle Cerebral Artery Territory Infarct Indian Journal of Neurosurgery diffuse brain injury posttraumatic cerebral infarction middle cerebral artery territory infarction decompressive craniectomy subdural hygroma burr hole hydrocephalus vp shunt syndrome of trephined cranioplasty |
| title | Case Report of Posttraumatic Middle Cerebral Artery Territory Infarct |
| title_full | Case Report of Posttraumatic Middle Cerebral Artery Territory Infarct |
| title_fullStr | Case Report of Posttraumatic Middle Cerebral Artery Territory Infarct |
| title_full_unstemmed | Case Report of Posttraumatic Middle Cerebral Artery Territory Infarct |
| title_short | Case Report of Posttraumatic Middle Cerebral Artery Territory Infarct |
| title_sort | case report of posttraumatic middle cerebral artery territory infarct |
| topic | diffuse brain injury posttraumatic cerebral infarction middle cerebral artery territory infarction decompressive craniectomy subdural hygroma burr hole hydrocephalus vp shunt syndrome of trephined cranioplasty |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1584594 |
| work_keys_str_mv | AT ajayakumarayyappanunnithan casereportofposttraumaticmiddlecerebralarteryterritoryinfarct |