Schmitt H P, Miltner E
Institut für Neuropathologie, University of Heidelberg, F.R.G.
Forensic Sci Int. 1991 Jan-Feb;49(1):113-20. doi: 10.1016/0379-0738(91)90178-l.
A 19-year-old male received kicks to his head in the course of a fight with other young people. On admission to hospital he became drowsy and developed a hemiparesis and a facial paralysis on the right. After 3-4 days of continuous improvement the patient suddenly fell unconscious again and died on the seventh day after the trauma due to an increase of the intracranial pressure. Neuropathologic examination revealed an extensive dissection of the wall of the left anterior and middle cerebral artery. The age of the recurring infarction in the dependent areas of blood supply corresponded to the biphasic clinical course.
一名19岁男性在与其他年轻人打架过程中头部受到踢击。入院时他变得嗜睡，并出现右侧偏瘫和面瘫。经过3至4天的持续好转后，患者突然再次昏迷，并在创伤后第七天因颅内压升高而死亡。神经病理学检查显示左大脑前动脉和大脑中动脉壁广泛剥离。血液供应依赖区域反复梗死的时间与双相临床病程相符。
