J Korean Radiol Soc.  1992 Dec;28(6):810-816.

Cerebral infarction secondary to temporal lobe herniation in head trauma: a CT study

• Kim JH
• Park ED
• Kim HJ
• Han JW
• Chung SH
• Ha CK
• Kim JI

Abstract

Cerebral infarction is a known complication of temporal lobe herniation caused by a traumatic intracranial lesion. To ascertain the frequency, time of recognition, and influence on mortality of posttraumatioc cerebral infarction secondary to temporal lobe herniation, we retrospectively reviewed brain CT scans and clinical records of 55 patients who had CT and clinical signs of temporal lobe herniation on admission date. Cerbral infarctions were recognized in seven (12.7%) patients on CT scans taken within two days after admission (mean: 1.3 days). Cerbral infarctions were in the terrtiories of the posterior cerbral artery in all seven patients, two of whom had infarctions of the anterior choroidal artery as well. Mortality (71.4%) for these seven patients was not statistically significant from that (50%) of patients without cerebral infarction admitted with the same range of Glasgow Coma Scale score. The result suggests that such cerebral infarction does not greatly influence atient's mortality.

MeSH Terms

Arteries
Brain
Cerebral Infarction*
Choroid
Craniocerebral Trauma*
Glasgow Coma Scale
Head*
Humans
Infarction
Mortality
Retrospective Studies
Temporal Lobe*
Tomography, X-Ray Computed