Seltene Form einer cerebralen Embolie nach Karotistrauma

Abstract

Rechtsmedizin (1997) 7 : 90-94 9 Springer-Verlag 1997 Th. Sigrist 9 Ch. M a r k w a l d e r 9 G. G s t r e i n Seltene Forro einer cerebralen Embolie nach Karotistrauma Eingegangen: 24. Juni 1996 / Angenommen: 15. Juli 1996 A r a r e case of c e r e b r a l e m b o l i s m d u e to a b l u n t t r a u m a of t h e c a r o t i d a r t e r y A b s t r a c t A 66-year-old m a n was involved in a struggle with a younger man. During the fight the younger m a n grabbed the victim around the neck and hit his head several times against the floor. A few minutes later the victim became hemiparetic, aphasic and later unconscious. He was taken to hospital where he died 2 months later from urosepsis. The autopsy revealed a detached arteriosclerotic plaque of the left carotid artery and an infarction of parts of the left hemisphere. The left cerebral medial artery was blocked by a sequestrum of the calcified carotid intima. A direct causal connection between the trauma and death could be shown. K e y w o r d s Carotid artery -E m b o l i s m 9 T r a u m a -Arteriosclerosis