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Permanent Cerebral Vessel Occlusion via Double Ligature and Transection

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Published on: July 21, 2013

Traumatic middle cerebral artery occlusion from boxing.

S Sawauchi¹, T Terao, S Tani

¹Department of Neurosurgery, The Jikei University School of Medicine, 3-25-8 Nishi-Shinbashi, Minato-ku, Tokyo, 105, Japan.

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia

|July 22, 2008

Summary

A traumatic boxing injury caused a rare middle cerebral artery (MCA) occlusion in a young boxer. This case highlights the potential for severe vascular trauma from sports, emphasizing the need for awareness and prompt diagnosis.

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Transient Middle Cerebral Artery Occlusion Model of Stroke

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Published on: August 11, 2023

Area of Science:

Neurology
Vascular Surgery
Sports Medicine

Background:

Traumatic brain injuries can lead to cerebrovascular complications.
Middle cerebral artery (MCA) occlusion is a significant cause of ischemic stroke.
Sports-related head trauma, including boxing, poses a risk for vascular injury.

Purpose of the Study:

To present a case of traumatic MCA occlusion secondary to a boxing injury.
To discuss the clinical presentation and potential mechanisms of this rare event.
To raise awareness among healthcare professionals regarding sports-related cerebrovascular trauma.

Main Methods:

Case report of a 22-year-old amateur boxer.
Clinical evaluation including neurological assessment and speech difficulty.
Diagnostic imaging including computed tomographic (CT) scan and carotid angiogram.

Main Results:

The patient presented with expressive dysphasia following a boxing match.
CT scan revealed ischemic changes in the left globus pallidus and corona radiata.
Carotid angiogram confirmed complete occlusion of the left MCA origin and narrowing of the left internal carotid artery.

Conclusions:

Traumatic MCA occlusion can occur following blunt head trauma sustained during boxing.
Prompt diagnosis via neuroimaging is crucial for identifying the extent of vascular injury.
Understanding the mechanisms of traumatic MCA occlusion is important for managing such rare cases.