Traumatic middle cerebral artery occlusion: A case report Travmatik orta serebral arterin tıkanması: Olgu sunumu
Haseki Tip Bulteni, cilt.56, sa.4, ss.321-325, 2018 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 56 Sayı: 4
- Basım Tarihi: 2018
- Doi Numarası: 10.4274/haseki.3914
- Dergi Adı: Haseki Tip Bulteni
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.321-325
- Anahtar Kelimeler: Middle cerebral artery, trauma, decompressive craniectomy, posttraumatic cerebral infarction
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Traumatic occlusion of the middle cerebral artery (MCA) is a rare cause of cerebral infarction. Malignant infarction of the MCA is associated with a mortality rate of 80%. Arterial dissection, cerebral vasospasm, and thrombosis may be the pathogenesis of this condition. Poor admission Glasgow coma scale score, low systolic blood pressure, and brain herniation are significantly associated with development of posttraumatic cerebral infarction. There is no effective medical treatment for malignant MCA infarction. Decompressive craniotomy is the last solution to prevent severe damage or death. We report a 51-year-old female having craniofacial injury, multiple chest trauma, hemothorax, pneumothorax, and cerebral infarction after a traffic accident. Despite decompression surgery, she died two days after the injury.