title: Posttraumatic hemicerebral infarction in a four-year-old girl.
abstract: BACKGROUND
  Brain infarction after trauma is uncommon. Injury of the carotid and vertebrobasilar arteries can cause brain infarction due to occlusion of brain blood flow.
  
  
  METHODS
  Emergency medical service (EMS) brought a 4-year-old girl involved in a car accident to the emergency room. She had had seizure controlled by diazepam. She was unconscious and her Glasgow coma scale (GCS) score was eight. Early vital signs were stable. Her first brain CT scan showed a subdural hematoma (SDH). One day after admission to ICU, her GCS decreased to five; hence, a control brain CT was performed. The brain CT scan showed a brain infarction. Six days after admission, her status worsened and her GCS dropped to three and her pupils became dilated bilaterally and unresponsive to light; she was pronounced dead.
  
  
  CONCLUSIONS
  We present an uncommon case of posttraumatic brain infarction and synchronous SDH.
authors.affiliation: Department of Emergency Medicine, Urmia University of Medical Sciences, Urmia, IR Iran.
authors.forename: Gholamreza
authors.initials: G
authors.lastname: Faridaalaee
authors.affiliation: Department of Neurosurgery, Urmia university of Medical Sciences, Urmia, IR Iran.
authors.forename: Alireza
authors.initials: A
authors.lastname: Taghian
authors.affiliation: Department of Emergency Medicine, Urmia University of Medical Sciences, Urmia, IR Iran.
authors.forename: Tannaz
authors.initials: T
authors.lastname: Sattarzadeh Ghadim
keywords: Brain Hemorrhage, Traumatic; Brain Infarction; Child