Fischer H, Masel H, Steiner R
Z Rechtsmed. 1975 Sep 5;76(1):73-80. doi: 10.1007/BF02116800.
A short while after leaving a public-house a 71 year old man as the driver of his car was involved in a head-on collision with another car. On admission to a hospital he was unconscious with a distinct debility for the left side of his body and showed a changing anisocoria. Angiography of the right carotid artery revealed an occlusion. It was suspected that this was the terminal state of a generalized arteriosclerotic occlusion which was considered being the reason for the accident. The autopsy-findings showed, however, a posttraumatic thrombosis (whiplash-trauma of the cervical vertebral column) of the right arteria carotis and of the right arteria vertebralis with thromboembolia in a small pontine artery with an infarct-like ischemic softening. The differentiation from an apoplexia is of importance for the differential diagnosis.
一名71岁男子离开酒馆后不久，作为其汽车的驾驶员，与另一辆车发生了正面碰撞。入院时他昏迷不醒，身体左侧明显虚弱，且出现了变化的瞳孔不等大。右颈动脉血管造影显示有阻塞。怀疑这是全身性动脉硬化阻塞的终末期状态，被认为是事故的原因。然而，尸检结果显示右颈动脉和右椎动脉有创伤后血栓形成（颈椎挥鞭样创伤），在一条小的脑桥动脉中有血栓栓塞，伴有梗死样缺血性软化。与中风的鉴别对于鉴别诊断很重要。
