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Journal of Korean Neurosurgical Society 1977;6(1): 103-108.
Posttraumatic Middle Cerebral Artery Occlusion: Case Report.
Eui Wha Chung, Yong Don Kim, Young Soo Kim
1Department of Neurosurgery, Presbyterian Medical Center, Jeonju, Korea.
2Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea.
Although obstruction of the carotid artery after head trauma or non-penetrating injuries of the neck had been well known, reports of occlusion of middle cerebral artery following closed head trauma are rare. Up to now Jacque, et al, have found only 22 cases of posttraumatic middle cerebral artery occlusion including their own one case in the world literatures since DeVeer and Browder reported the first case in 1942. We report a case of posttraumatic middle cerebral artery occlusion. The patient developed right hemiplegia, aphasia and mental confusion 2 days following closed head trauma. Left cerotid angiograms revealed complete occlusion of the horizontal portion of the left middle cerebral artery distal to the origin of the lenticulostriate branches. Previously reported cases are review and possible pathophysiological mechanisms discussed.
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