Oclusão traumatica da artéria cerebral média: registro de um caso

Araujo, José Carlos Lynch de; Moraes, Gloria Patello de

doi:10.1590/S0004-282X1984000100009

Resumos

É apresentado caso de oclusão traumática da artéria cerebral média. O quadro clínico, aspectos radiológicos, a morbidade e mortalidade desta entidade são discutidos. A patogênese não está totalmente esclarecida e as mais prováveis são analisadas.

Post-traumatic occlusion of middle cerebral artery is uncommon. Only forty nine cases have been adequately described in the literature. We present one such cases. The symptoms may simulate those of intranial hematoma and the angiography confirms the diagnosis. The mortality rates are high. The pathogenesis is not clearly understood and several explanations have been reported.

Oclusão traumatica da artéria cerebral média. Registro de um caso

Traumatic occlusion of middle cerebral artery. Acase report

José Carlos Lynch de Araujo^I; Gloria Patello de Moraes^II

^IChefe do Setor de Neurocirurgia. Hospital Cardoso Fontes (Rio de Janeiro)

^IIChefe do Setor de Anatomia Patológica. Hospital Cardoso Fontes (Rio de Janeiro)

RESUMO

É apresentado caso de oclusão traumática da artéria cerebral média. O quadro clínico, aspectos radiológicos, a morbidade e mortalidade desta entidade são discutidos. A patogênese não está totalmente esclarecida e as mais prováveis são analisadas.

SUMMARY

Post-traumatic occlusion of middle cerebral artery is uncommon. Only forty nine cases have been adequately described in the literature. We present one such cases. The symptoms may simulate those of intranial hematoma and the angiography confirms the diagnosis. The mortality rates are high. The pathogenesis is not clearly understood and several explanations have been reported.

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Trabalho do Hospital Cardoso Fontes (Rio de Janeiro).

Hospital Cardoso Fontes, Setor de Neurocirurgia - Estrada Menezes Cortes 3.245 - 20000 Rio de Janeiro - RJ - Brasil.

1. AJIR, F. & TIBBETTS, J.C. - Post-traumatic occlusion of the supraclinoid internal carotid artery. Neurosurgery 9:173, 1981.
2. BOLREY, E.; MAAS, L. & MILLER, E.R. - Role of atlantoid compression in etiology of internal carotid artery thrombosis. J. Neurosurg. 13:127, 1956.
3. BONNAL, J.; BOUDOURESQTJES, J.; BILLE, J. & LAVIELLE, J. - Hémiplégie avec aphasie par embol sylvien parti d'un foyer de contusion traumatique de la carotide au regard de l'axis. Presse méd. 75:1569, 1967.
4. CALDWELL, H.W. & HADDEN, T.C. - Carotid artery thrombosis: report of eight cases due to trauma. Ann. int. Med. 28:1132, 1948.
5. CLARKE, P.R.R.; DICKSON, J. & SMITH, B.J. - Traumatic thrombosis of the intern carotid artery following a nonpenetrating injury and leading to infarction of the brain. Brit. J. Surg. 43:215, 1955.
6. DEVEER, J. A. & BROWDER, J. - Post- traumatic cerebral thrombosis and infarction. Report of a case and discussion of its bearing on the problem of immediate and delayed post-traumatic apoplexy. J. Neuropath, exp. Neurol. 1:24, 1942.
7. DUJOUNY, M.; LAHA, R.K.; DECASTRO, S. & BRIANT, S. - Posttraumatic middle cerebral artery thrombosis. J. Traumat. 19:775, 1979.
8. DUMAN, S. & STEPHENS, J.W. - Post-traumatic middle cerebral artery occlusion. Neurology (Minneapolis) 13:613, 1963.
9. FRANTZEN, E.; JACOBSEN, H.H. & THERKELSEN, J. - Cerebral artery occlusion in children due to trauma to the head and neck. Neurology (Minneapolis) 11:695, 1961.
10. GUNNING, A.J.; PICKERING, G.W. & ROBB-SMITH, A.H.T. - Mural thrombosis of the internal carotid artery and subsequent embolism. Quart. J. Med. 3:155, 1964.
11. HIGAZI, I. - Post-traumatic carotid thrombosis. Report of a case with intensive angiographic study of the collateral circulation. J. Neurosurg. 20:354, 1963.
12. HOLLIN, S.A.; SUKOFF, M.H.; SILVERSTEIN, A. & GROSS, S.W. - Posttraumatic middle cerebral artery occlusion. J. Neurosurg. 25:526, 1966.
13. HOUCK,, W.S.; JACKSON, J.R.; ODON, G.L. & YOUNG, W.G. - Occlusion of the internal carotid artery in the neck secondary to closed trauma to the head and neck. A report of two cases. Ann. Surg. 159:219, 1964.
14. JACQUES, S.; SHELDEN, C.H.; ROGER, T.D. & TRIPPI, C.A. - Post-traumatic bilateral middle cerebral artery occlusion. J. Neurosurg. 42:217, 1975.
15. LOAR, C.R.; CHADDUCK, W.M. & NUGENT, G.R. - Traumatic occlusion of the middle cerebral case report. J. Neurosurg. 39 : 753, 1973.
16. LYNESS, S.S. & WAGMAN, A.D. - Neurologic deficit following cervical manipulation. Surg. Neurol. 2:121, 1974.
17. MURRAY, D.S. - Post-traumatic thrombosis of the internal carotid and vertebral arteries after non penetranting injuries of the neck. Brit. J. Surg. 44:556, 1957.
18. OLAFSON, A.R. & CHRISTOFERSON, A.L. - The syndrome of carotid occlusion following minor craniocervical trauma. J. Neurosurg. 33:636, 1970.
19. ROESSMAN, U. & MILLER, T. - Thrombosis of the middle cerebral artery associated with bird trauma. Neurology (Mineapolis) 30:889, 1980.
20. SCHNEIDER, R.C. & LEMMEN, L.J. - Traumatic internal carotid artery thrombosis secondary to nonpenetrating injuries to the neck: a problem in the differential diagnosis of cranio cerebral trauma. J. Neurosurg. 9:495, 1952.
21. SEDZIMIR, C.B. - Head injury as a cause of internal carotid thrombosis. J. Neurol. Neurosurg. Psychiat. 18:293, 1955.
22. VIGOUROUX, R.P.; GUILLERMAIN, P. & MAOUAD, M. - Les oblitérations traumatiques de l'artère sylvienne. Neurochirurgie 23:413, 1977.
23. WEIGEL, K. & OSTERTAG, C.B. - Traumatic occlusion of the middle cerebral artery. Neurochirurgia 24:30, 1981.
24. WILKINS, R.H. & ODOM, G.L. - Intracranial arterial spasm associated with craniocerebral trauma. J. Neurosurg. 32:626, 1971.
25. WOLPERT, S.M. & SCHECHTER, M.M. - Traumatic middle cerebral artery occlusion. Radiology 87:671, 1966.

Datas de Publicação

Publicação nesta coleção
14 Ago 2012
Data do Fascículo
Mar 1984

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. AJIR, F. & TIBBETTS, J.C. - Post-traumatic occlusion of the supraclinoid internal carotid artery. Neurosurgery 9:173, 1981.

[2] 2. BOLREY, E.; MAAS, L. & MILLER, E.R. - Role of atlantoid compression in etiology of internal carotid artery thrombosis. J. Neurosurg. 13:127, 1956.

[3] 3. BONNAL, J.; BOUDOURESQTJES, J.; BILLE, J. & LAVIELLE, J. - Hémiplégie avec aphasie par embol sylvien parti d'un foyer de contusion traumatique de la carotide au regard de l'axis. Presse méd. 75:1569, 1967.

[4] 4. CALDWELL, H.W. & HADDEN, T.C. - Carotid artery thrombosis: report of eight cases due to trauma. Ann. int. Med. 28:1132, 1948.

[5] 5. CLARKE, P.R.R.; DICKSON, J. & SMITH, B.J. - Traumatic thrombosis of the intern carotid artery following a nonpenetrating injury and leading to infarction of the brain. Brit. J. Surg. 43:215, 1955.

[6] 6. DEVEER, J. A. & BROWDER, J. - Post- traumatic cerebral thrombosis and infarction. Report of a case and discussion of its bearing on the problem of immediate and delayed post-traumatic apoplexy. J. Neuropath, exp. Neurol. 1:24, 1942.

[7] 7. DUJOUNY, M.; LAHA, R.K.; DECASTRO, S. & BRIANT, S. - Posttraumatic middle cerebral artery thrombosis. J. Traumat. 19:775, 1979.

[8] 8. DUMAN, S. & STEPHENS, J.W. - Post-traumatic middle cerebral artery occlusion. Neurology (Minneapolis) 13:613, 1963.

[9] 9. FRANTZEN, E.; JACOBSEN, H.H. & THERKELSEN, J. - Cerebral artery occlusion in children due to trauma to the head and neck. Neurology (Minneapolis) 11:695, 1961.

[10] 10. GUNNING, A.J.; PICKERING, G.W. & ROBB-SMITH, A.H.T. - Mural thrombosis of the internal carotid artery and subsequent embolism. Quart. J. Med. 3:155, 1964.

[11] 11. HIGAZI, I. - Post-traumatic carotid thrombosis. Report of a case with intensive angiographic study of the collateral circulation. J. Neurosurg. 20:354, 1963.

[12] 12. HOLLIN, S.A.; SUKOFF, M.H.; SILVERSTEIN, A. & GROSS, S.W. - Posttraumatic middle cerebral artery occlusion. J. Neurosurg. 25:526, 1966.

[13] 13. HOUCK,, W.S.; JACKSON, J.R.; ODON, G.L. & YOUNG, W.G. - Occlusion of the internal carotid artery in the neck secondary to closed trauma to the head and neck. A report of two cases. Ann. Surg. 159:219, 1964.

[14] 14. JACQUES, S.; SHELDEN, C.H.; ROGER, T.D. & TRIPPI, C.A. - Post-traumatic bilateral middle cerebral artery occlusion. J. Neurosurg. 42:217, 1975.

[15] 15. LOAR, C.R.; CHADDUCK, W.M. & NUGENT, G.R. - Traumatic occlusion of the middle cerebral case report. J. Neurosurg. 39 : 753, 1973.

[16] 16. LYNESS, S.S. & WAGMAN, A.D. - Neurologic deficit following cervical manipulation. Surg. Neurol. 2:121, 1974.

[17] 17. MURRAY, D.S. - Post-traumatic thrombosis of the internal carotid and vertebral arteries after non penetranting injuries of the neck. Brit. J. Surg. 44:556, 1957.

[18] 18. OLAFSON, A.R. & CHRISTOFERSON, A.L. - The syndrome of carotid occlusion following minor craniocervical trauma. J. Neurosurg. 33:636, 1970.

[19] 19. ROESSMAN, U. & MILLER, T. - Thrombosis of the middle cerebral artery associated with bird trauma. Neurology (Mineapolis) 30:889, 1980.

[20] 20. SCHNEIDER, R.C. & LEMMEN, L.J. - Traumatic internal carotid artery thrombosis secondary to nonpenetrating injuries to the neck: a problem in the differential diagnosis of cranio cerebral trauma. J. Neurosurg. 9:495, 1952.

[21] 21. SEDZIMIR, C.B. - Head injury as a cause of internal carotid thrombosis. J. Neurol. Neurosurg. Psychiat. 18:293, 1955.

[22] 22. VIGOUROUX, R.P.; GUILLERMAIN, P. & MAOUAD, M. - Les oblitérations traumatiques de l'artère sylvienne. Neurochirurgie 23:413, 1977.

[23] 23. WEIGEL, K. & OSTERTAG, C.B. - Traumatic occlusion of the middle cerebral artery. Neurochirurgia 24:30, 1981.

[24] 24. WILKINS, R.H. & ODOM, G.L. - Intracranial arterial spasm associated with craniocerebral trauma. J. Neurosurg. 32:626, 1971.

[25] 25. WOLPERT, S.M. & SCHECHTER, M.M. - Traumatic middle cerebral artery occlusion. Radiology 87:671, 1966.

Brasil

Brasil

Oclusão traumatica da artéria cerebral média: registro de um caso

Traumatic oclusion of middle cerebral artery: a case report

Resumos

Datas de Publicação