Hemispheric cerebral ischemia in traumatic brain injury: Report of four cases

Vascular injury to brain as a secondary phenomenon is not uncommon in head injury. Abnormality in cerebral blood flow after head injury is well documented. There are plenty of reports of focal vascular insults in head injury; however hemispheric ischemia is not reported so far to the best of our kno...

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Main Authors: YR Yadav, Sanjay Pandey, Alok Agrawal
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2005-12-01
Series:The Indian Journal of Neurotrauma
Subjects:
Online Access:http://www.ijntonline.com/Dec05/abstracts/14.PDF
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author YR Yadav
Sanjay Pandey
Alok Agrawal
author_facet YR Yadav
Sanjay Pandey
Alok Agrawal
author_sort YR Yadav
collection DOAJ
description Vascular injury to brain as a secondary phenomenon is not uncommon in head injury. Abnormality in cerebral blood flow after head injury is well documented. There are plenty of reports of focal vascular insults in head injury; however hemispheric ischemia is not reported so far to the best of our knowledge. Four patients of hemispheric ischemia were treated in last 13 years time out of the total of 13167 patients admitted for head injury. Three patients were males of six months, 30 years and 34 years of age while the fourth patient was a 10-year-old-female. Road traffic accident, assault and fall from height were the mode of accident in these cases. Both the adults died while both the children survived with gross neurological deficits. All four patients had subarachnoid and subdural hematomas along with evidence of hyperextension injury suggested by abrasion on forehead. Severe form of vascular injury like hemispheric ischemia is rare. Subarachnoid and subdural hematoma and hyperextension injuries could be risk factors. Prognosis is poor. There is a need to identify a subgroup of patients at risk of such complications.
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spelling doaj.art-271b008bba714a4ba0cf0137df18d7802023-12-03T04:27:20ZengThieme Medical and Scientific Publishers Pvt. Ltd.The Indian Journal of Neurotrauma0973-05082005-12-0122131133Hemispheric cerebral ischemia in traumatic brain injury: Report of four casesYR YadavSanjay PandeyAlok AgrawalVascular injury to brain as a secondary phenomenon is not uncommon in head injury. Abnormality in cerebral blood flow after head injury is well documented. There are plenty of reports of focal vascular insults in head injury; however hemispheric ischemia is not reported so far to the best of our knowledge. Four patients of hemispheric ischemia were treated in last 13 years time out of the total of 13167 patients admitted for head injury. Three patients were males of six months, 30 years and 34 years of age while the fourth patient was a 10-year-old-female. Road traffic accident, assault and fall from height were the mode of accident in these cases. Both the adults died while both the children survived with gross neurological deficits. All four patients had subarachnoid and subdural hematomas along with evidence of hyperextension injury suggested by abrasion on forehead. Severe form of vascular injury like hemispheric ischemia is rare. Subarachnoid and subdural hematoma and hyperextension injuries could be risk factors. Prognosis is poor. There is a need to identify a subgroup of patients at risk of such complications.http://www.ijntonline.com/Dec05/abstracts/14.PDFcerebral infarctionsecondary brain injurytraumatic hemispheric cerebral ischemiavascular insult
spellingShingle YR Yadav
Sanjay Pandey
Alok Agrawal
Hemispheric cerebral ischemia in traumatic brain injury: Report of four cases
The Indian Journal of Neurotrauma
cerebral infarction
secondary brain injury
traumatic hemispheric cerebral ischemia
vascular insult
title Hemispheric cerebral ischemia in traumatic brain injury: Report of four cases
title_full Hemispheric cerebral ischemia in traumatic brain injury: Report of four cases
title_fullStr Hemispheric cerebral ischemia in traumatic brain injury: Report of four cases
title_full_unstemmed Hemispheric cerebral ischemia in traumatic brain injury: Report of four cases
title_short Hemispheric cerebral ischemia in traumatic brain injury: Report of four cases
title_sort hemispheric cerebral ischemia in traumatic brain injury report of four cases
topic cerebral infarction
secondary brain injury
traumatic hemispheric cerebral ischemia
vascular insult
url http://www.ijntonline.com/Dec05/abstracts/14.PDF
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AT alokagrawal hemisphericcerebralischemiaintraumaticbraininjuryreportoffourcases