외상성 중대뇌동맥 폐색증
Posttraumatic Middle Cerebral Artery Occlusion
정의화, 김영수, 김용돈,
소속 상세정보
정의화 ( )
전주예수병원 신경외과
김영수 ( )
연세대학교 의과대학 신경외과학교실
김용돈 ( )
전주예수병원 신경외과
KMID : 0359819770060010103
Abstract
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 3)4)6)
Up to now Jacque, et ale. 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 fo 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 pothophysiological mechanisms discussed.
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