Kuraj E, Imieliński L B
Neurol Neurochir Pol. 1975 Jan-Feb;9(1):103-8.
The authors report 4 cases of angiographically diagnosed traumatic thromboses of cerebral arteries. In two of them thrombosis of the middle cerebral artery was present and in one of them it was confirmed on autopsy. In one case thrombosis involved the basilar artery and in another the subcallosal artery. The time between the injury and development of neurological manifestations was from several hours to several weeks. Major disturbances of consciousness at the time of onset of focal central nervous system lesion were never observed. Attention is called to the necessity of differential diagnosis of these conditions against traumatic haematoma. In the light of pertinent literature the problems of diagnosis, treatment and pathogenesis of traumatic cerebral arterial thrombosis are discussed.
作者报告了4例经血管造影诊断的脑动脉创伤性血栓形成病例。其中2例存在大脑中动脉血栓形成,1例经尸检证实。1例血栓累及基底动脉,另1例累及胼胝体下动脉。受伤至出现神经学表现的时间为数小时至数周。局灶性中枢神经系统病变发作时从未观察到严重意识障碍。提请注意对这些情况与创伤性血肿进行鉴别诊断的必要性。根据相关文献,讨论了创伤性脑动脉血栓形成的诊断、治疗和发病机制问题。