Diffuse axonal injury without direct head trauma and with delayed onset of coma - 08/09/11
, ⁎, Jan K. Korthals, MD, PhD †, C.Daniel Riggs, MD Department of Pediatrics, University of South Florida, College of Medicine; Tampa, Florida, USA Abstract |
A 16-year-old female was involved in a jet ski (water craft) accident resulting in bilateral lower extremity fractures but no loss of consciousness or any other evidence of head trauma. Thirty hours later she became comatose. Magnetic resonance imaging was consistent with diffuse axonal injury. She recovered after several weeks without any clinical sequelae. This patient demonstrates an unusual example of diffuse axonal injury without direct head trauma and with delayed onset of symptoms. The authors recommend that patients involved in high-velocity accidents, even without immediate evidence of head injury, be observed for signs of diffuse axonal injury.
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Vol 19 - N° 5
P. 382-384 - novembre 1998 Retour au numéro
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