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Journal of Korean Neurosurgical Society > Volume 15(4); 1986 > Article
Journal of Korean Neurosurgical Society 1986;15(4): 803-808.
Traumatic Occlusion of the Middle Cerebral Artery.
Kwan Hee Park, Chang Gu Kang, Dong Hee Kim, Dae Jo Kim
Department of Neurosurgery, Maryknoll Hospital, Pusan, Korea.
ABSTRACT
We have had the opportunity to investigate a case with traumatic middle cerebral artery occlusion. The patient was 47 years old male who developed right hemiplegia and aphasia after collision with a automobile vehicle. Cerebral arteriography demonstrated complete occlusion of the left Sylvian middle cerebral artery distal to the origin of the operculofrontal arteires. The computed tomographic scan of the brain revealed dense infarction on the left temporoparietoccipital lobe. With repeated studies on 6 weeks and 6 months after trauma, confirmed partial clearing of the previously occluded middle cerebral artery in cerebral arteriographies and on interval change in computed tomographic scans. Comparable reported cases and theories of pathogenesis are discussed.
Key Words: Middle cerebral artery; Occlusion; Trauma; Thrombosis; Infarction; Computed tomographic scan
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