Nihon hōigaku zasshi = The Japanese journal of legal medicine
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Nihon Hoigaku Zasshi · Apr 1993
Case Reports[An autopsy case of traumatic middle cerebral artery occlusion].
An autopsy case of middle cerebral artery occlusion following closed head injury is reported. A 16-year-old laborer received head injuries in a motorcycle-automobile accident. On first examination at the time of admission, semi-coma, left-sided hemiplegia and other focal cerebral signs were evident. ⋯ On the 4th day, angiography showed tapering occlusion of the right internal carotid artery at the top of the 3rd cervical vertebra. The patient died from the cerebral infarct 7 days after injury. At autopsy, thrombotic obstruction at the origin of the right middle cerebral artery due to a dissecting aneurysm was found.