Traumatic occlusion of the middle cerebral artery

Abstract

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.