No abstract

A 31-year-old male patient who presented with headache, chest uneasiness, and blurring of vision in the left eye. A computed tomographic scan revealed a large hematoma in the left occipital lobe. Echocardiogram showed mitral valve vegetations. Digital subtraction angiography revealed a fusiform aneurysm of the distal posterior cerebral artery. Subsequent angiogram revealed enlargement of the aneurysm. The patient was subjected to craniotomy with evacuation of the hematoma and excision of the aneurysm. Histopathology confirmed it to be a mycotic aneurysm.

No abstract

Traumatic occlusion of the middle cerebral artery (MCA) is very rare compared to occlusion of the internal carotid and basilar artery. Patients with longer latency have lower mortality. Herein, we report two cases of MCA occlusion who deteriorated under observation because of MCA territory infarction. CT angiography revealed occlusion of MCA in M1 segment. Both were subjected to decompressive craniotomy. First patient is ambulatory and has spastic gait. Second patient showed improvement in sensorium and still requires nursing care.

Available online xxxKeywords: Post traumatic occlusion Post traumatic thrombosis Middle cerebral artery Decompressive craniectomy a b s t r a c t Traumatic occlusion of the middle cerebral artery is very rare compared to occlusion of the Internal Carotid and Basilar artery. Patients with longer latency have lower mortality.Herein we report two cases of middle cerebral artery (MCA) occlusion who deteriorated under observation because of middle cerebral artery territory infarction. CT Angiography revealed occlusion of middle cerebral artery in M1 segment. Both were subjected to decompressive craniotomy. First patient is ambulatory and has spastic gait. Second patient showed improvement in sensorium and still requires nursing care.