外傷性くも膜下出血後の脳血管攣縮により広範な脳梗塞を発症し死亡した1例(Fatal cerebral infarction due to vasospasm following traumatic subarachnoid hemorrhage: A case report)

Key Points

• This case report aims to highlight the occurrence of fatal cerebral infarction due to post-traumatic vasospasm following a subarachnoid hemorrhage.
• Case study of a male in his 40s with traumatic brain injury from a fall.
• Initial imaging confirmed subarachnoid hemorrhage and hematoma enlargement was monitored.
• Neurological assessments tracked changes in consciousness levels post-intubation.
• Advanced imaging (CTA and MRI) was used to diagnose vasospasm and resultant infarction.
• Patient developed severe changes in consciousness levels, with GCS initially improving then deteriorating.
• Imaging revealed narrowing of cerebral arteries and extensive infarction confirming diagnosis of PTV.
• Despite medical treatment, patient experienced uncontrollable brain swelling and died on the 11th day.