Clinical Analysis of 27 Patients with Traumatic Cerebral Infarction

Objective To investigate the pathogenesis,diagnosis and treatment of traumatic cerebral infarction so as to improve treatment effects and reduce complications.Methods A retrospective analysis was conducted on the clinical documents of the patients admitted to our hospital with traumatic cerebral infarction for the past five years.There were 2 cases of combined cerebral concussion,2 cases of brain stem injury,6 cases of contusion and laceration of brain,14 cases of intracranial hematoma,and 3 cases of cerebral hernia.19 cases of them were performed with craniotomy and 8 were with medical treatment.Results 25 cases were followed for 3 months up to 5 years.The follow-up rate was 92.6%.According to GOS evaluation criteria,14 of them recovered well,8 ended up with medium level of disability and 2 with high level of disability,and 1 died.Conclusions The pathogenesis of traumatic cerebral infarction is complicated and the prognosis is bad.Utilization of medical imaging,early diagnosis and treatment can increase the chance of survival and reduce the complications.