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Posttraumatic cerebral arterial spasm--case report

M Ide1, M Jimbo, M Yamamoto

  • 1Department of Neurosurgery, Tokyo Women's Medical College Dai-ni Hospital.

Neurologia Medico-Chirurgica
|February 1, 1993
PubMed
Summary
This summary is machine-generated.

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A head injury can cause delayed cerebral arterial spasm, leading to fatal outcomes. This case highlights a rare instance of severe posttraumatic cerebral vasospasm without identifiable vascular abnormalities.

Area of Science:

  • Neurology
  • Traumatic Brain Injury
  • Vascular Neurology

Background:

  • Head trauma can lead to delayed neurological complications.
  • Cerebral arterial spasm is a known complication of subarachnoid hemorrhage.
  • The pathophysiology of posttraumatic cerebral vasospasm without aneurysm rupture is not fully understood.

Observation:

  • A 51-year-old male sustained a head injury from a fall.
  • Initial CT scan suggested severe subarachnoid hemorrhage.
  • The patient remained stable for one week before rapid neurological deterioration.

Findings:

  • The patient died on day 15 due to severe delayed cerebral arterial spasm.
  • Postmortem examination revealed no aneurysms, arteriovenous malformations, or arterial tears.

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  • This indicates a non-aneurysmal cause for the vasospasm.

    • Implications:

    • Posttraumatic cerebral arterial spasm can occur without identifiable vascular lesions.
    • Delayed vasospasm is a critical, potentially fatal, complication of head trauma.
    • Further research is needed to elucidate the mechanisms of non-aneurysmal posttraumatic cerebral vasospasm.