Download PDF
Indian Journal of Neurotrauma 2015; 12(01): 065-067
DOI: 10.1055/s-0035-1555020
Case Report
Neurotrauma Society of India

Traumatic Occlusion of the Middle Cerebral Artery

Sushil Kumar
1   Department of Neurosurgery and Radiology, St. Stephen's Hospital, Tis Hazari, New Delhi, India
,
Ashish Desai
1   Department of Neurosurgery and Radiology, St. Stephen's Hospital, Tis Hazari, New Delhi, India
,
Ravi Tiwary
1   Department of Neurosurgery and Radiology, St. Stephen's Hospital, Tis Hazari, New Delhi, India
,
Amit Garg
1   Department of Neurosurgery and Radiology, St. Stephen's Hospital, Tis Hazari, New Delhi, India
› Author Affiliations
Subject Editor:
Further Information

Publication History

29 November 2014

10 January 2015

Publication Date:
30 June 2015 (online)

    Permissions and Reprints

Abstract

Traumatic occlusion of the middle cerebral artery (MCA) is very rare compared to occlusion of the internal carotid and basilar artery. Patients with longer latency have lower mortality. Herein, we report two cases of MCA occlusion who deteriorated under observation because of MCA territory infarction. CT angiography revealed occlusion of MCA in M1 segment. Both were subjected to decompressive craniotomy. First patient is ambulatory and has spastic gait. Second patient showed improvement in sensorium and still requires nursing care.

Keywords

posttraumatic occlusion - posttraumatic thrombosis - middle cerebral artery - decompressive craniectomy
 

  • References

  • 1 Takakura K, Saito I, Sasaki T. Special problems associated with subarachnoid hemorrhage. In: Youmans JR. Neurological Surgery. 3rd ed. Philadelhpia, PA: WB Saunders; 1990: 1864-1889
    Google Scholar
  • 2 Brett EM. Vascular disorders of the nervous system in childhood. In: Brett EM. Pediatric Neurology. 3rd ed. New York, NY: Churchill Livingstone; 1997: 571-588
    Google Scholar
  • 3 Bunai Y, Nagai A, Nakamura I, Akaza K, Ohya I. Posttraumatic thrombosis of middle cerebral artery. Am J Forensic Med Pathol 2001; 22: 299-302
    CrossrefPubMedGoogle Scholar
  • 4 Mobbs RJ, Chandran KN. Traumatic middle cerebral artery occlusion: case report and review of literature. Neurol India 2001; 49: 158-161
    PubMedGoogle Scholar
  • 5 Lee SJ, Yee GT, Choi CY, Sohn MJ, Lee CH. Post-traumatic middle cerebral artery dissection-A case report. J Korean Neurotraumatol Soc 2009; 5: 22-24
    CrossrefPubMedGoogle Scholar
  • 6 Sedzimir CB. Head injury as a cause of internal carotid thrombosis. J Neurol Neurosurg Psychiatry 1955; 18: 293-296
    CrossrefPubMedGoogle Scholar
  • 7 Sakamom K, Kobayashi N. Traumatic middle cerebral artery occlusion. No Shinkei Gaishou 1971; 3: 381-394
    PubMedGoogle Scholar
  • 8 Uchida K, Mine T, Takenaka N, Inoue H, Suga S, Shiga H. Post traumatic occlusion of intracranial vessels: a concept of €œdelayed traumatic cerebral infarction€. Neurotraumatology 1986; 9: 133-142
    PubMedGoogle Scholar
  • 9 Han SR, Lee SJ, Yee GT, Choi CY, Sohn MJ, Lee CH. Post traumatic middle cerebral artery dissection. Case report. J Korean Neurotraumatol Soc 2009; 5: 22-24
    CrossrefPubMedGoogle Scholar
  • 10 Mohan IV. Current optimal assessment and management of carotid and vertebral spontaneous and traumatic dissection. Angiology 2013; 65: 274-283
    PubMedGoogle Scholar