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- A Fatal Intracerebral Hemorrhage Complicated by Compartment Syndrome of the Upper Arm
- In Bo Han, Young Sun Chung, Dong Eun Shin, Ryoong Huh, Sang Sup Chung, Jung Yong Ahn
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J Korean Soc Traumatol 2006;19(2):178-182
DOI: https://doi.org/
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2Department of Orthopedic Surgery, Pochon CHA University College of Medicine, Sungnam, Korea.
3Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea. jyahn@yumc.yonsei.ac.kr
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.
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