Presentation
Acute onset of left hemiplegia and aphasia as well as disturbed consciousness then admitted to ICU after craniectomy operation was done.
Patient Data
Right parieto-temporal infarction with gangliocapsular involvement.
There are post-operative changes related to right large decompressive fronto-temporo-parietal craniectomy with a large bone defect, abundant external herniation of large infarcted brain parenchymal tissue as well as dural covering, and subdural hypodense collection.
No midline shift nor sub-falcine herniation
Preserved size of the right lateral ventricle.
Case Discussion
If done early enough, decompressive craniectomy can be effective in preventing morbidity and mortality secondary to brain swelling in acute cerebral infarction.