Mooney R P, Bessen H A
Department of Emergency Medicine, Harbor-UCLA Medical Center, Torrance.
Am J Emerg Med. 1988 Jul;6(4):341-5. doi: 10.1016/0735-6757(88)90152-0.
A 21-year-old man developed transient, recurring right arm and leg weakness 2 weeks after a motorcycle accident. He ultimately proved to have an intimal tear and thrombosis of the left internal carotid artery with transient cerebral ischemia due to distal emboli. Neurologic deficits eventually resolved after anticoagulation and balloon occlusion of the vessel. The differential diagnosis of the patient's presentation is discussed, and the topic of nonpenetrating trauma of the carotid artery is reviewed, with special attention to mechanism of injury and clinical presentation.
一名21岁男性在摩托车事故2周后出现短暂性、复发性右臂和腿部无力。最终证实他患有左颈内动脉内膜撕裂和血栓形成，并因远端栓子导致短暂性脑缺血。在进行抗凝和血管球囊闭塞治疗后，神经功能缺损最终得以缓解。本文讨论了该患者临床表现的鉴别诊断，并对颈动脉非穿透性创伤这一主题进行了综述，特别关注损伤机制和临床表现。
