{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,26]],"date-time":"2025-07-26T09:31:14Z","timestamp":1753522274446},"reference-count":5,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground:<\/jats:title>\nTraumatic brain injury-related cerebral infarctions are well-documented in the literature. We want to report a case of malignant cerebral infarction that occurred at the contralateral location of evacuated epidural hematoma 3 days after surgery. The early-onset cerebral infarction\u2019s clinical presentation was already evident during the initial clinical examination, and it resembled \u201cKernohan\u2019s Notch Syndrome.\u201d<\/jats:p>\n<\/jats:sec>\n\nCase Description:<\/jats:title>\nA 57-year-old male Indonesian was taken to our Academic General Hospital\u2019s emergency room following a motorcycle accident. His primary complaints were reduced consciousness and left-sided hemiparesis. A head computed tomography (CT) scan revealed an intracerebral hematoma beneath an epidural hematoma (EDH) at the left temporal area. The EDH was surgically removed promptly. The patient\u2019s Glasgow coma scale improved, and they were able to follow commands afterwards. The patient had a decreased consciousness 3 days after the surgery. A malignant infarction of the right middle cerebral artery region was identified from the head CT scan evaluation. He immediately had an emergency decompressive craniectomy and had an improvement of consciousness following the surgery.<\/jats:p>\n<\/jats:sec>\n\nConclusion:<\/jats:title>\nIt is imperative to reassess the initial clinical signs of Kernohan\u2019s notch phenomenon to determine whether the offending mass was able to generate this clinical phenomenon. Initial cerebral infarction, which occurs concomitantly with traumatic intracranial hematoma, is a possible cause of clinical deterioration following the surgery.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_629_2024","type":"journal-article","created":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T07:09:32Z","timestamp":1727420972000},"page":"349","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Occurrence of malignant cerebral infarction following intracranial hematoma evacuation in traumatic brain injury: A case report"],"prefix":"10.25259","volume":"15","author":[{"given":"Vega","family":"Pangaribuan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tedy","family":"Apriawan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agus","family":"Turchan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2024,9,27]]},"reference":[{"key":"10.25259\/SNI_629_2024\/ref-1","first-page":"e13956","article-title":"A case report examining a contraindication for mechanical thrombectomy in the setting of a large vessel occlusion and a concurrent contralateral intracranial hemorrhage","volume":"13","author":"Albano","year":"2021","journal-title":"Cureus"},{"key":"10.25259\/SNI_629_2024\/ref-2","doi-asserted-by":"crossref","first-page":"27","DOI":"10.4103\/bc.bc_28_18","article-title":"Early signs of middle cerebral artery infarction on multidetector computed tomography: Review of 20 cases","volume":"5","author":"Alshoabi","year":"2019","journal-title":"Brain Circ"},{"key":"10.25259\/SNI_629_2024\/ref-3","doi-asserted-by":"crossref","first-page":"652","DOI":"10.3340\/jkns.2022.0002","article-title":"The Kernohan-Woltman notch phenomenon: A systematic review of clinical and radiologic presentation, surgical management, and functional prognosis","volume":"65","author":"Beucler","year":"2022","journal-title":"J Korean Neurosurg Soc"},{"key":"10.25259\/SNI_629_2024\/ref-4","doi-asserted-by":"crossref","first-page":"230","DOI":"10.11622\/smedj.2020074","article-title":"The hyperdense vessel sign in cerebral computed tomography: Pearls and pitfalls","volume":"61","author":"Chieng","year":"2020","journal-title":"Singapore Med J"},{"key":"10.25259\/SNI_629_2024\/ref-5","doi-asserted-by":"crossref","first-page":"e344","DOI":"10.1161\/STR.0000000000000211","article-title":"Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke a guideline for healthcare professionals from the American Heart Association\/American Stroke Association","volume":"50","author":"Powers","year":"2019","journal-title":"Stroke"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/occurrence-of-malignant-cerebral-infarction-following-intracranial-hematoma-evacuation-in-traumatic-brain-injury-a-case-report\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/occurrence-of-malignant-cerebral-infarction-following-intracranial-hematoma-evacuation-in-traumatic-brain-injury-a-case-report\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T07:09:36Z","timestamp":1727420976000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/occurrence-of-malignant-cerebral-infarction-following-intracranial-hematoma-evacuation-in-traumatic-brain-injury-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,27]]},"references-count":5,"alternative-id":["10.25259\/SNI_629_2024"],"URL":"https:\/\/doi.org\/10.25259\/sni_629_2024","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2024,9,27]]},"article-number":"349"}}