Korean J Neurotrauma.
2023 Dec;19(4):466-470. 10.13004/kjnt.2023.19.e57.
Middle Cerebral Artery Compromise Associated With Post-traumatic Hydrocephalus: A Case Report
- Affiliations
-
- 1Department of Medicine, College of Medicine, I-Shou University, Kaohsiung, Taiwan
- 2Department of Neurosurgery, E-Da Hospital, Kaohsiung, Taiwan
- 3Department of Neurosurgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
- KMID: 2552581
- DOI: http://doi.org/10.13004/kjnt.2023.19.e57
Abstract
- Post-traumatic hydrocephalus (PTH) is a commonly encountered complication following decompressive craniectomy, and is usually characterized by symptoms including headache, nausea, vomiting, and papilledema. Extracranial herniation accompanied by hemiplegia is a rare complication in patients with PTH who underwent craniectomy after subdural hematoma removal. We report a case of PTH that presented with extracranial herniation within one month of decompressive craniectomy. Following ventriculoperitoneal shunt implantation, left hemiplegia improved dramatically with restoration of the left middle cerebral artery blood flow, which was evident on serial imaging. Vascular compromise is often overshadowed by increased intracranial pressure when clinicians are dealing with traumatic brain injury patients. Delicate neurological and radiological examinations and prompt early interventions could lead to optimal outcomes in patients receiving decompressive craniectomy.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Post-Traumatic Middle Cerebral Artery Dissection: A Case Report
- Clinical Analysis of Post-traumatic Hydrocephalus
- Intracranial Cerebrovascular Revascularization(Extracranial-Intracranial Arterial Bypass, EIAB)
- Traumatic Rupture of Middle Cerebral Artery Aneurysm
- Communicating Hydrocephalus Onset Following a Traumatic Tension Pneumocephalus
