BRAIN INJURY WITHOUT HEAD-INJURY AFTER MULTIPLE TRAUMA

Watershed infarction has previously been described after cerebral trau ma, when it is due to raised intracranial pressure or systemic hypoten sion. A case is reported, so far as is known for the first time, of bi lateral watershed infarction following blunt systemic trauma, without injury to the head or neck. The importance of resuscitation in prevent ing secondary brain injury caused by systemic hypotension is highlight ed. The advantages of HMPAO-SPET in detecting cerebral perfusion defec ts are discussed.