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Traumatic Cerebral Ischemia/Infarction
Surjith Vattoth, MD, FRCR; Anne G. Osborn, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Posttraumatic cerebral ischemia (PTCI)
              • Definitions

                • Hemodynamic alterations induced by traumatic brain injury (TBI): Local, regional, or generalized perfusion alteration(s)

              IMAGING

              • General Features

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      • Angiographic Findings

                        • Nuclear Medicine Findings

                          • Imaging Recommendations

                            DIFFERENTIAL DIAGNOSIS

                              PATHOLOGY

                              • General Features

                                • Gross Pathologic & Surgical Features

                                  • Microscopic Features

                                    CLINICAL ISSUES

                                    • Presentation

                                      • Demographics

                                        • Natural History & Prognosis

                                          • Treatment

                                            DIAGNOSTIC CHECKLIST

                                            • Consider

                                              • Image Interpretation Pearls

                                                Selected References

                                                1. Wu R et al: Management of subdural effusion and hydrocephalus following decompressive craniectomy for posttraumatic cerebral infarction in a patient with traumatic brain injury: a case report. BMC Surg. 19(1):26, 2019
                                                2. Foreman PM et al: Blunt traumatic extracranial cerebrovascular injury and ischemic stroke. Cerebrovasc Dis Extra. 7(1):72-83, 2017
                                                3. Bae DH et al: Cerebral infarction after traumatic brain injury: incidence and risk factors. Korean J Neurotrauma. 10(2):35-40, 2014
                                                4. Wang WH et al: Risk factors for post-traumatic massive cerebral infarction secondary to space-occupying epidural hematoma. J Neurotrauma. 31(16):1444-50, 2014
                                                5. Paiva WS et al: Occlusion of the anterior cerebral artery after head trauma. World J Radiol. 5(5):226-8, 2013
                                                6. Paredes I et al: Normal pressure subdural hygroma with mass effect as a complication of decompressive craniectomy. Surg Neurol Int. 2:88, 2011
                                                7. Botteri M et al: Cerebral blood flow thresholds for cerebral ischemia in traumatic brain injury. A systematic review. Crit Care Med. 36(11):3089-92, 2008
                                                8. Stefini R et al: Chemokine detection in the cerebral tissue of patients with posttraumatic brain contusions. J Neurosurg. 108(5):958-62, 2008
                                                9. Tawil I et al: Posttraumatic cerebral infarction: incidence, outcome, and risk factors. J Trauma. 64(4):849-53, 2008
                                                Related Anatomy
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                                                Related Differential Diagnoses
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                                                References
                                                Tables

                                                Tables

                                                KEY FACTS

                                                • Terminology

                                                  • Imaging

                                                    • Top Differential Diagnoses

                                                      • Pathology

                                                        • Clinical Issues

                                                          • Diagnostic Checklist

                                                            TERMINOLOGY

                                                            • Abbreviations

                                                              • Posttraumatic cerebral ischemia (PTCI)
                                                            • Definitions

                                                              • Hemodynamic alterations induced by traumatic brain injury (TBI): Local, regional, or generalized perfusion alteration(s)

                                                            IMAGING

                                                            • General Features

                                                              • CT Findings

                                                                • MR Findings

                                                                  • Ultrasonographic Findings

                                                                    • Angiographic Findings

                                                                      • Nuclear Medicine Findings

                                                                        • Imaging Recommendations

                                                                          DIFFERENTIAL DIAGNOSIS

                                                                            PATHOLOGY

                                                                            • General Features

                                                                              • Gross Pathologic & Surgical Features

                                                                                • Microscopic Features

                                                                                  CLINICAL ISSUES

                                                                                  • Presentation

                                                                                    • Demographics

                                                                                      • Natural History & Prognosis

                                                                                        • Treatment

                                                                                          DIAGNOSTIC CHECKLIST

                                                                                          • Consider

                                                                                            • Image Interpretation Pearls

                                                                                              Selected References

                                                                                              1. Wu R et al: Management of subdural effusion and hydrocephalus following decompressive craniectomy for posttraumatic cerebral infarction in a patient with traumatic brain injury: a case report. BMC Surg. 19(1):26, 2019
                                                                                              2. Foreman PM et al: Blunt traumatic extracranial cerebrovascular injury and ischemic stroke. Cerebrovasc Dis Extra. 7(1):72-83, 2017
                                                                                              3. Bae DH et al: Cerebral infarction after traumatic brain injury: incidence and risk factors. Korean J Neurotrauma. 10(2):35-40, 2014
                                                                                              4. Wang WH et al: Risk factors for post-traumatic massive cerebral infarction secondary to space-occupying epidural hematoma. J Neurotrauma. 31(16):1444-50, 2014
                                                                                              5. Paiva WS et al: Occlusion of the anterior cerebral artery after head trauma. World J Radiol. 5(5):226-8, 2013
                                                                                              6. Paredes I et al: Normal pressure subdural hygroma with mass effect as a complication of decompressive craniectomy. Surg Neurol Int. 2:88, 2011
                                                                                              7. Botteri M et al: Cerebral blood flow thresholds for cerebral ischemia in traumatic brain injury. A systematic review. Crit Care Med. 36(11):3089-92, 2008
                                                                                              8. Stefini R et al: Chemokine detection in the cerebral tissue of patients with posttraumatic brain contusions. J Neurosurg. 108(5):958-62, 2008
                                                                                              9. Tawil I et al: Posttraumatic cerebral infarction: incidence, outcome, and risk factors. J Trauma. 64(4):849-53, 2008