Keikkala S, Somer H, Valanne L
Department of Neurology, University of Helsinki, Finland.
Acta Neurol Scand. 1988 Mar;77(3):220-3. doi: 10.1111/j.1600-0404.1988.tb05898.x.
A 17-year-old man developed acute hemiparesis 6 months after a motor cycle accident. In the accident he had a closed trauma on the contralateral side of the head and the neck, with multiple bone fractures. Aortocervical angiography, performed after the infarction, revealed a 2.5 cm long aneurysmatic dilatation in the internal carotid artery, the presumably source of embolic infarction. This and the 24 other cases gathered from the literature support the notion that closed neck trauma may create "false aneurysm" which again may cause neurological deficits.
一名17岁男性在摩托车事故6个月后出现急性偏瘫。在事故中，他头部和颈部的对侧受到闭合性创伤，伴有多处骨折。梗死发生后进行的主动脉颈血管造影显示，颈内动脉有一个2.5厘米长的动脉瘤样扩张，这可能是栓塞性梗死的来源。这一病例以及从文献中收集的其他24个病例支持了这样一种观点，即闭合性颈部创伤可能会形成“假性动脉瘤”，而假性动脉瘤又可能导致神经功能缺损。
