Auerbach S H, Butler R B, Levine H L
Stroke. 1981 May-Jun;12(3):367-9. doi: 10.1161/01.str.12.3.367.
A patient is presented who had severe headache and then developed a stuttering course of clinical neurological deficits. Arteriography demonstrated an ipsilateral proximal middle cerebral embolus. With recurrence of symptoms, repeat arteriography showed another, more proximal embolus with areas of distal occlusion. The headache probably occurred when the embolus became lodged in a pain sensitive cerebral vessel at the base of the brain. The subsequent stuttering neurological deficits were due to fragmentation of the embolus as well as recurrence.
一名患者先是出现严重头痛，随后临床神经功能缺损呈间歇性发作。血管造影显示同侧大脑中动脉近端有栓子。随着症状复发，再次血管造影显示又出现一个更靠近近端的栓子以及远端闭塞区域。头痛可能是栓子阻塞了脑底部对疼痛敏感的脑血管时发生的。随后出现的间歇性神经功能缺损是由于栓子破碎以及复发所致。
