case_images: PMC3806694_01
case_images: a Enhanced chest CT scan on admission shows pericardial effusion. MR angiography shows the occlusion of the superior division of the left M2 segment of the MCA (b) and diffusion-weighted MR imaging shows high signal intensity in the MCA territory (c). d Postoperative CT scan shows diffuse brain edema after the hemispheric infarction; decompressive craniectomy was performed.
case_images: crn-0005-0175-g01.jpg
case_images: PMC3806694_01_crn-0005-0175-g01.jpg
case_images: F1
case_images: Pericardial effusion and a collapsed inferior vena cava were revealed in heart echocardiograph and chest computed tomography (CT) examinations (fig. 1a). Diffusion-weighted MR imaging revealed high signal intensity in the MCA territory (fig. 1b, c), suggesting acute cerebral infarction. Due to the midline shift of the head on CT after 20 h of hospitalization, external and internal decompression surgery was performed (fig. 1d).
case_images: Summary of the fluid resuscitation of the patient after admission to the intensive care unit within 24 h. The lines depict the changes in hemoglobin and heart rate.
case_images: crn-0005-0175-g02.jpg
case_images: PMC3806694_01_crn-0005-0175-g02.jpg
case_images: F2
case_images: Mechanical ventilation and massive fluid resuscitation (10 liters/day) were implemented on the first day (fig. 2).
case_images: Photograph after bilateral calf fasciotomy (a) and intraoperative photograph after left forearm fasciotomy and carpal tunnel release (b).
case_images: crn-0005-0175-g03.jpg
case_images: PMC3806694_01_crn-0005-0175-g03.jpg
case_images: F3
case_images: Pretibial compartment syndrome was diagnosed and bilateral calf fasciotomy was performed (fig. 3a). Despite compliance with the prescribed medications, 7 attacks of ISCLS were documented during the first 12-month follow-up, with 2 severe episodes requiring fasciotomy (fig. 3b).