Ajir F, Tibbetts J C
Neurosurgery. 1981 Aug;9(2):173-6. doi: 10.1227/00006123-198108000-00012.
Intracranial occlusion of the internal carotid artery secondary to minor head or neck injury is uncommon. We report the case of an 18-year-old man who sustained a minor head and neck injury during a fist fight and developed a left hemiparesis resulting from thrombosis of the supraclinoid portion of the right internal carotid artery. Conservative inpatient treatment with low dose heparin and aspirin resulted in a gradual, steady improvement. Two months later, after an intensive program of physical therapy, the patient showed good progress; his facial weakness had lessened and his left hemiparesis was mild. Although there is no ideal treatment for internal carotid artery occlusion secondary to minor trauma, conservative treatment should be undertaken unless there are progressive or recurring ischemic symptoms, in which case an extracranial-intracranial bypass operation should be considered.
轻微头部或颈部损伤继发颅内颈内动脉闭塞并不常见。我们报告一例18岁男性，他在一场拳击斗殴中头部和颈部受轻伤，随后因右侧颈内动脉床突上段血栓形成而出现左侧偏瘫。采用低剂量肝素和阿司匹林进行保守住院治疗后病情逐渐稳步改善。两个月后，经过强化物理治疗方案，患者取得良好进展；面部无力减轻，左侧偏瘫症状轻微。虽然对于轻微创伤继发的颈内动脉闭塞尚无理想的治疗方法，但除非出现进行性或复发性缺血症状，否则应采取保守治疗，出现这种情况时则应考虑进行颅外-颅内搭桥手术。
