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Bilateral anterior cerebral artery infarction resulting from explosion-type injury to the head and neck.
Author(s) -
Joshua H. Lipschutz,
Robert M. Pascuzzi,
James R. Bognanno,
Tim Putty
Publication year - 1991
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/01.str.22.6.813
Subject(s) - medicine , neck injury , anterior cerebral artery , coma (optics) , occlusion , magnetic resonance imaging , infarction , surgery , cerebral infarction , internal carotid artery , head and neck , head injury , common carotid artery , radiology , carotid arteries , middle cerebral artery , cardiology , ischemia , poison control , myocardial infarction , physics , environmental health , optics
A 43-year-old woman suffered a blast-type injury to the head and neck. She subsequently developed bilateral internal carotid artery occlusion and bilateral anterior cerebral artery infarction not demonstrated by magnetic resonance imaging scan 24 hours after the explosion, but confirmed by a second scan 8 days after the explosion. In patients with blast-type injury to the head and neck who develop coma with a nonfocal neurological exam, the possibility of bilateral carotid artery occlusion and bilateral ischemic infarction should be considered.

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