一例罕见的手勒死后中风病例

C. Selvakumar, S. M., Sadeesh Kumar
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引用次数: 0

摘要

手勒死后中风是罕见的表现。我们报告一个病例61岁的男子没有已知的合并症,以右手偏瘫后,手动扼杀。神经影像学显示左侧大脑中动脉区域梗死及左侧后分水岭梗死。虽然有单独的血栓栓塞性脑卒中和分水岭性脑卒中的报道,但据我们所知,迄今为止尚未有一例合并分水岭性脑卒中和血栓栓塞性脑卒中的报道。在文献综述的基础上,探讨了其可能的机制。根据本病例报告,还强调了对所有到达急诊室的勒死受害者进行延迟性脑血管损伤和适当调查的必要性。
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A Rare Case of Stroke Following Manual Strangulation
Stroke following manual strangulation is a rare presentation. We report a case of 61-year-old man with no known comorbidities presenting with right hemiplegia following manual strangulation. Neuroimaging showed left middle cerebral artery territory infarct along with left posterior watershed infarct. Although isolated cases of thromboembolic stroke and watershed infarcts have been reported, combined watershed infarct and thromboembolic stroke in a person has not been reported till date to the best of our knowledge. The probable mechanism is discussed based on literature review. The need for anticipation of delayed cerebrovascular injuries and appropriate investigations in all strangulation victims who arrive at emergency department is also stressed upon based on this case report.
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