[Ischemic brain insult following surgical intervention in the carotid triangle]

The authors describe the following rare case involving a young man: a vascular incident and a central hemiparesis with slight motor aphasia caused by ischemic lesions in the region of the A cerebri media developed suddenly after surgical intervention in the trigonum caroticum. The pathogenesis of the brain insult involves a neuroreflectory stimulus in the region of the carotis sinus during the operation combined with obstructed venous discharge after suturing the v jugularis interna which the collateral brain circulation was unable to compensate for.