ABSTRACT
Post-traumatic thrombosis of the middle cerebral artery (MCA) is uncommon: only 39 cases were found in the literature. In the present report, eight cases of post-traumatic MCA thrombosis are analyzed and compared with other reported cases. The symptoms can be easily confused with those of expanding intracranial hematoma. Although ancillary noninvasive diagnostic methods are helpful, cerebral angiography confirms the diagnosis. The morbidity and mortality rates are high, and treatment has been mainly supportive. The low mortality in the present study may be related to the absence of severe head or other trauma. Possible cerebral revascularization procedures are also discussed.
Subject(s)
Cerebral Arteries , Craniocerebral Trauma/complications , Intracranial Embolism and Thrombosis/etiology , Adult , Aged , Child , Female , Humans , Intracranial Embolism and Thrombosis/diagnostic imaging , Intracranial Embolism and Thrombosis/therapy , Male , Middle Aged , Tomography, X-Ray ComputedABSTRACT
Acute arterial embolism continues to be a major cause of stroke morbidity in children and young adults. Potential therapy modalities include medical management and/or cerebral revascularization. The canine middle cerebral artery (MCA) was embolized by means of a pliable cylinder, 8 mm long by 1.6 mm in diameter, via the internal carotid artery. Control and experimental embolectomies were performed 6 hours following embolization. The experimental animals were treated with either dimethyl sulfoxide (DMSO) or methyl prednisolone. In the control animals, the average area of infarction in the brain was 1.45 cu cm. The animals treated with methyl prednisolone (2 mg/kg) or DMSO (2 gm/kg) showed no infarction of the brain, whereas methyl prednisolone (30 mg/kg) did not prevent infarction.
Subject(s)
Cerebral Arterial Diseases/surgery , Dimethyl Sulfoxide/therapeutic use , Intracranial Embolism and Thrombosis/surgery , Methylprednisolone/therapeutic use , Animals , Cerebral Infarction/prevention & control , Dimethyl Sulfoxide/administration & dosage , Dogs , Methylprednisolone/administration & dosage , Postoperative Complications/prevention & controlABSTRACT
The supracondylar process of the humerus has been described by anatomists and anthropologists in man and lower animals. Infrequently this process may cause compression of the median nerve. We are presenting such a case along with a brief review of the literature. Excision of the bone process led to immediate disappearance of symptoms.
Subject(s)
Humerus , Median Nerve , Nerve Compression Syndromes/etiology , Adult , Humans , Male , Nerve Compression Syndromes/surgeryABSTRACT
A case report, the third in the literature, is presented of a patient whose progressive numbness in the second and third divisions of the trigeminal nerve led to the discovery of an isolated amyloidoma of the gasserian ganglion. The clinical impression of tumor was confirmed by surgical and pathologic findings.
