case_images: PMC3299143_01
case_images: Head CT scan showing small shots in the right Rolando area and PtiO2 and MD catheters (black arrow)
case_images: JETS-5-103-g001.jpg
case_images: PMC3299143_01_JETS-5-103-g001.jpg
case_images: F1
case_images: Computed tomography (CT) scan 2 hours after accident showed more than 30 intraparenchymal small shots localized in the right hemisphere with brain edema and signs of intracranial hypertension (ICHT) [Figure 1].
case_images: ICP, CPP, and PtiO2 trends. Note episodes of high ICP around 50mm Hg, with ischemia (PtiO2 <15mm Hg), prior to craniectomy (EVD: External Ventricular Drainage)
case_images: JETS-5-103-g002.jpg
case_images: PMC3299143_01_JETS-5-103-g002.jpg
case_images: F2
case_images: PtiO2 was showing brief ischemic episodes [Figures 2 and 3], due to CPP decreasing and respiratory failure (Pa02 <80 mm Hg).
case_images: Lactate/pyruvate ratio and cerebral glucose trends. Note normal LPR around 25 during the hours preceding craniectomy. Prior to craniectomy, glucose values were decreased below 0.8mmol/l, which indicates ongoing ischemia (correlation with PtiO2)
case_images: JETS-5-103-g003.jpg
case_images: PMC3299143_01_JETS-5-103-g003.jpg
case_images: F3
case_images: PtiO2 was showing brief ischemic episodes [Figures 2 and 3], due to CPP decreasing and respiratory failure (Pa02 <80 mm Hg).
case_images: PMC3299143_02