Brain injury without head injury after multiple trauma.
Watershed infarction has previously been described after cerebral trauma, when it is due to raised intracranial pressure or systemic hypotension. A case is reported, so far as is known for the first time, of bilateral watershed infarction following blunt systemic trauma, without injury to the head or neck. The importance of resuscitation in preventing secondary brain injury caused by systemic hypotension is highlighted. The advantages of HMPAO-SPET in detecting cerebral perfusion defects are discussed.
Bavetta
S
S
Department of Neurosurgery, Royal London Hospital, UK.
Nimmon
C C
CC
Britton
K E
KE
Greenwood
R J
RJ
D000328:Adult; D001921:Brain / Q000098:blood supply; D001925:Brain Damage, Chronic / Q000000981:diagnostic imaging*; D002544:Cerebral Infarction / Q000000981:diagnostic imaging*; D004620:Embolism, Fat / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000000981:diagnostic imaging; D009104:Multiple Trauma / Q000000981:diagnostic imaging* / Q000601:surgery; D015609:Organotechnetium Compounds; D010091:Oximes; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D012039:Regional Blood Flow / Q000502:physiology; D019690:Technetium Tc 99m Exametazime; D015899:Tomography, Emission-Computed, Single-Photon
D015609:Organotechnetium Compounds; D010091:Oximes; D019690:Technetium Tc 99m Exametazime