Delayed Post Traumatic Vasospasm Leading to Ischemia in a Patient with Mild Traumatic Brain Injury

This article describes ischemic symptoms following post-traumatic vasospasm in a patient with mild traumatic brain injury. A 17-year-old female presented with left hemiparesia, confusion and right mydriasis 14 days after a moderate head injury resulting in brain contusion and basal cisternal sub-arachnoid hemorrhage. Bilateral supraclinoidal internal carotid artery vasospasm and a right anterior and middle cerebral arteries stroke were diagnosed. She underwent decompressive craniectomy and balloon angioplasty. Patients with mild traumatic brain injury and serious lesions on initial computed tomography should be evaluated by warrant screening strategy using early computed tomographic angiography and transcranial doppler to diagnose post-traumatic vasospam.