Bilateral middle cerebral artery infarction associated with traumatic common carotid artery dissection: A case report and review of literature
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- 作者：Fumiko Chiba ; Yohsuke Makino ; Ayumi Motomura ; Go Inokuchi ; Namiko Ishii ; Suguru Torimitsu ; Ayaka Sakuma ; Sayaka Nagasawa ; Hisako Saito ; Daisuke Yajima ; Mutsumi Hayakawa ; Hirotaro Iwase
- 关键词：Traumatic common carotid artery dissection ; Middle cerebral artery ; Cerebral infarction ; Antemortem images ; Forensic pathology
- 刊名：Forensic Science International
- 出版年：March, 2014
- 年：2014
- 卷：236
- 期：Complete
- 页码：e1-e4
- 全文大小：1251 K
文摘
Traumatic common carotid artery dissection is very rare, and although it is associated with mild symptoms, it can sometimes be fatal. Therefore, careful examination of common carotid artery dissection and additional pathological examination as appropriate are important during the autopsy of traumatic death patients. A 60-year-old previously healthy drunken woman was run over. She had remained unconscious shortly after the accident, and 15 h later, emerging bilateral cerebral infarction was confirmed using brain computed tomography. Despite conservative management, she died 4 days after the injury due to multiple chest traumas and broad cerebral infarction. A medico-legal autopsy was conducted. According to the autopsy results, microscopically identified common carotid artery dissections with thrombus formation were considered the cause of infarction. In the present case, macroscopic common carotid artery lesions were relatively mild, and this made diagnosis difficult. However, the correct diagnosis was achieved by a combined analysis of the antemortem images and autopsy results. Thus, in such cases, a combined comprehensive analysis of autopsy results and antemortem clinical images is important to determine the exact cause of death.