Presentation
Respiratory failure.
Patient Data
Age: 30 years
Gender: Male
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Endotracheal tube appropriately positioned, lungs clear.
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Left frontal and temporal extra-axial hemorrhage with left frontal lobe intra-axial hemorrhage. Early midline shift.
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Increasing size extra-axial hemorrhage with worsening sub-falcine herniation and new lateral transtentorial herniation.
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Interval left decompressive hemi-craniectomy with improvement in mass effect.
Case Discussion
This case shows that respiratory failure may occur for extrathoracic reasons, in this case, due to a severe brain injury.