Grau A J, Eckstein H H, Schäfer B, Schnabel P A, Brandt T, Hacke W
Department of Neurology, University of Heidelberg, Germany.
J Neurol Sci. 1998 Mar 5;155(2):215-7. doi: 10.1016/s0022-510x(98)00007-0.
During the terminal incubation period of severe mumps infection, a 40-year-old patient suffered from large infarction in the right middle cerebral artery territory. The proximal right internal carotid artery (ICA) was occluded on angiography. Computed tomography of the neck detected a hemorrhage located ventromedial to the right common carotid artery. Four months later the right ICA was partly recanalized. Carotid surgery revealed an atherosclerotic plaque and a vessel wall, which was fragile and less compact than usually. A strong inflammatory reaction to mumps infection may have contributed to the pathogenesis of the cervical hemorrhage and to acute thrombosis and occlusion of the ICA.
在严重腮腺炎感染的终末期潜伏期，一名40岁患者在右侧大脑中动脉区域发生大面积梗死。血管造影显示右侧颈内动脉（ICA）近端闭塞。颈部计算机断层扫描检测到右侧颈总动脉腹内侧有出血。四个月后，右侧ICA部分再通。颈动脉手术发现一个动脉粥样硬化斑块和血管壁，其比正常情况更脆弱且结构疏松。对腮腺炎感染的强烈炎症反应可能促成了颈部出血的发病机制以及ICA的急性血栓形成和闭塞。
