Multiple focal vascular injury in head trauma
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A 20-year-old man admitted in emergency department after a car accident, brought by air rescue service. The patient had been intubated at the trauma scene and was assisted according to ATLS protocol. He was hemodynamically stable, presenting six points in Glasgow Coma Scale, with miotic pupils. A computed tomography (CT) scan showed diffuse hemorrhagic points in the white matter suggestive of MFVI. He underwent to intracranial pressure monitoring. Patient evolved with refractory intracranial hypertension despite all intensive care measures, presenting brain death after 3 days. An autopsy confirmed multiple focal vascular injury (MFVI)...

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