Elsevier

Forensic Science International

Volume 49, Issue 1, January–February 1991, Pages 113-120
Forensic Science International

Dissection of the anterior and middle cerebral artery with fatal ischemia following kicks to the head

Dedicated to Professor Dr. Günter Ule, Director emeritus of the Institute of Neuropathology of the University of Heidelberg on the occasion of his 70th birthday.
https://doi.org/10.1016/0379-0738(91)90178-LGet rights and content

Abstract

A 19-year-old male received kicks to his head in the course of a fight with other young people. On admission to hospital he became drowsy and developed a hemiparesis and a facial paralysis on the right. After 3–4 days of continuous improvement the patient suddenly fell unconscious again and died on the seventh day after the trauma due to an increase of the intracranial pressure. Neuropathologic examination revealed an extensive dissection of the wall of the left anterior and middle cerebral artery. The age of the recurring infarction in the dependent areas of blood supply corresponded to the biphasic clinical course.

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