Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Post-Traumatic Cerebral Infarction Following Low-Energy Penetrating Craniocerebral Injury Caused by a Nail

  • Chen, Po-Chuan (Department of Emergency Medicine, Tri-Service General Hospital, National Defense Medical Center) ;
  • Tsai, Shih-Hung (Department of Emergency Medicine, Tri-Service General Hospital, National Defense Medical Center) ;
  • Chen, Yu-Long (Department of Emergency Medicine, Tri-Service General Hospital, National Defense Medical Center) ;
  • Liao, Wen-I (Department of Emergency Medicine, Tri-Service General Hospital, National Defense Medical Center)
  • Received : 2013.05.17
  • Accepted : 2014.05.15
  • Published : 2014.05.28
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Abstract

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.

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