Post-traumatic Cerebral Infarction: A Severe form of Secondary Brain Injury in Traumatic Brain Injury Patients with a Critical Neutrophil-to-lymphocyte Ratio

Abstract

Post-traumatic cerebral infarction (PTCI) is one of the most severe forms of secondary brain injury (SBI) post-traumatic brain injury (TBI). The PTCI incidence is not very often and is associated with a high mortality rate even after appropriate medical and surgical interventions. SBI is still challenging to prevent even though several laboratory tests such as neutrophil-to-lymphocyte ratio (NLR) were available for early detection and monitoring the severity of SBI progression. This study aimed to report the case of PTCI post-TBI which was correlated with an extremely high NLR result. This case report shows that early recognition and close monitoring is necessary to prevent the occurrence of PTCI in TBI patients. NLR is very beneficial to be used to monitor and detect the early progression of SBI post-TBI.