Traumatic intracranial foreign body embolization--case report.
Traumatic intracranial foreign body embolization--case report.
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DOI：
10.2176/nmc.34.810
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发表时间：
1994-12
影响因子：
1.9
通讯作者：
T. Kuroiwa;H. Tanabe;D. Ogawa;T. Ohta
中科院分区：
文献类型：
--
作者：
T. Kuroiwa;H. Tanabe;D. Ogawa;T. Ohta
一名27岁男性因工作时铁片意外穿透颈部而出现颅内栓塞。脑血管造影显示左侧大脑中动脉异物栓塞。异物通过开颅术和动脉切开术成功取出。从发病到手术治疗的延长期阻止了急性血流动力学重建。然而，他有良好的侧支循环，出院时有轻度轻偏瘫和中度运动性失语。对于颈部穿透性损伤的患者，应考虑颅内栓塞的可能性。
A 27-year-old male presented with intracranial embolization due to accidental penetration of his neck by an iron fragment at work. Cerebral angiography revealed foreign body embolization of the left middle cerebral artery. The foreign body was successfully removed via craniotomy and arteriotomy. The extended period from onset to surgical treatment prevented acute hemodynamic reconstruction. However, he had good collateral circulation and was discharged with mild hemiparesis and moderate motor aphasia. The possibility of intracranial embolization should be considered in patients presenting with penetrating injury of the neck.