Amagasa M, Sato S, Otabe K
Department of Neurosurgery, Yamagata City Hospital Saiseikan, Japan.
Neurosurgery. 1988 Aug;23(2):221-5. doi: 10.1227/00006123-198808000-00016.
A case of cerebral infarction in the territory of the anterior cerebral artery after a minor head injury is reported. It is possible that direct or mechanical damage by the edge of the falx or stretching and shearing of the anterior cerebral artery after an acute shift of the corpus callosum caused the localized lesion of the left anterior cerebral artery. We think that this mechanical injury caused a dissecting aneurysm or a cerebral arterial dissection, which was diagnosed by sequential angiographic changes.
报告了1例轻度头部损伤后大脑前动脉供血区脑梗死的病例。可能是镰缘的直接或机械损伤,或胼胝体急性移位后大脑前动脉的拉伸和剪切导致了左大脑前动脉的局限性病变。我们认为这种机械性损伤导致了夹层动脉瘤或脑动脉夹层,这是通过连续血管造影变化诊断出来的。