Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
권호 표지

A Fatal Intracerebral Hemorrhage Complicated by Compartment Syndrome of the Upper Arm

상지 구획 증후군 이후 발생한 치명적인 뇌출혈

  • Han, In-Bo (Department of Neurosurgery, Pochon CHA University College of Medicine) ;
  • Chung, Young-Sun (Department of Neurosurgery, Pochon CHA University College of Medicine) ;
  • Shin, Dong Eun (Department of Orthopedic Surgery, Pochon CHA University College of Medicine) ;
  • Huh, Ryoong (Department of Neurosurgery, Pochon CHA University College of Medicine) ;
  • Chung, Sang-Sup (Department of Neurosurgery, Pochon CHA University College of Medicine) ;
  • Ahn, Jung-Yong (Departments of Neurosurgery, Yonsei University College of Medicine)
  • 한인보 (포천 중문의과대학교 분당차병원 신경외과학교실) ;
  • 정영선 (포천 중문의과대학교 분당차병원 신경외과학교실) ;
  • 신동은 (포천 중문의과대학교 분당차병원 정형외과학교실) ;
  • 허륭 (포천 중문의과대학교 분당차병원 신경외과학교실) ;
  • 정상섭 (포천 중문의과대학교 분당차병원 신경외과학교실) ;
  • 안정용 (연세대학교 의과대학 신경외과학교실)
  • Received : 2006.08.18
  • Accepted : 2006.11.15
  • Published : 2006.12.30
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Abstract

Compartment syndrome has a wide spectrum from muscle pain to a life- threatening condition, such as acute renal failure and disseminated intravascular coagulation (DIC). Intracerebral hemorrhage (ICH) due to compartment syndrome has not been reported. We report a patient who presented with ICH leading to death. A 25-year-old female with no significant past history developed extensive compartment syndrome followed by rhabdomyolysis, acute renal failure, DIC, and ICH. Although the patient underwent a fasciotomy and hemodialysis and received aggressive resuscitation with massive transfusions of blood and intravenous fluids, she died. This case stresses the importance of early diagnosis and prompt treatment of compartment syndrome to prevent devastating complications.

Keywords

References

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