Related Experiment Video
Updated: Jul 3, 2026
08:22
Permanent Cerebral Vessel Occlusion via Double Ligature and Transection
Published on: July 21, 2013
Traumatic middle cerebral artery occlusion from boxing.
1Department of Neurosurgery, The Jikei University School of Medicine, 3-25-8 Nishi-Shinbashi, Minato-ku, Tokyo, 105, Japan.
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.
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.
Related Concept Videos
01:26Transient Ischemic Attack l: Introduction
A transient ischemic attack (TIA) is a brief episode of neurological dysfunction caused by a temporary, focal reduction in cerebral blood flow. Although symptoms resemble those of an ischemic stroke, the interruption in perfusion is short-lived and does not cause permanent infarction. TIAs are clinically important because they often serve as early warning events for future stroke.Mechanisms of Transient Cerebral IschemiaTransient cerebral ischemia may arise through several mechanisms. One...
01:28Traumatic Brain Injury l: Introduction
DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...
01:29Stroke: Introduction and Types
A stroke is an acute neurological event caused by the sudden disruption of cerebral blood flow, leading to rapid loss of neuronal function. Neurons depend on continuous oxygen and glucose supply, so even brief interruptions can cause irreversible injury within minutes. Strokes are classified into ischemic and hemorrhagic types.Ischemic StrokeIschemic strokes are most common and occur due to arterial occlusion, depriving brain tissue of oxygen and nutrients. This leads to energy failure, ionic...
01:10The Arch of Aorta
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
01:15Ischemic Stroke ll: Pathophysiology
An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...
01:15Ischemic Stroke l: Introduction
Ischemic stroke is an acute cerebrovascular condition in which blood flow to a brain region is suddenly interrupted, leading to tissue infarction. Neurons depend on continuous oxygen and glucose supply, so even brief reductions in perfusion cause energy failure, ionic imbalance, and irreversible injury. Ischemic strokes are classified into thrombotic and embolic types based on their underlying mechanisms.Thrombotic MechanismsThrombotic stroke develops when a clot forms within a cerebral artery.