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Posttraumatic bilateral middle cerebral artery occlusion. Case report.

S Jacques, C H Shelden, D T Rogers

    Journal of Neurosurgery
    |February 11, 1975
    PubMed
    Summary
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    This study details a rare case of bilateral posttraumatic middle cerebral artery occlusion. It reviews prior unilateral cases and discusses potential causes for this condition.

    Area of Science:

    • Neurology
    • Vascular Surgery
    • Trauma Medicine

    Background:

    • Middle cerebral artery (MCA) occlusion can result from trauma.
    • Bilateral MCA occlusion is exceptionally rare.
    • Understanding its pathophysiology is crucial for patient outcomes.

    Purpose of the Study:

    • To report a unique case of bilateral posttraumatic MCA occlusion.
    • To review existing literature on unilateral posttraumatic MCA occlusion.
    • To explore potential pathophysiological mechanisms.

    Main Methods:

    • Case report presentation.
    • Comprehensive literature review of traumatic MCA occlusion.
    • Discussion of proposed etiological factors.

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    Main Results:

    • Detailed account of a patient with bilateral traumatic MCA occlusion.
    • Synthesis of findings from previously reported unilateral cases.
    • Identification of potential contributing factors to MCA occlusion post-trauma.

    Conclusions:

    • Bilateral posttraumatic MCA occlusion represents a critical neurovascular emergency.
    • Further research is needed to elucidate the precise mechanisms.
    • This case highlights the importance of considering bilateral involvement in severe head trauma.