This paper reports a rare case in which a development and improvement of post-traumatic stenosis of the internal cartoid artery was documented by angiographical studies. A 31-year-old male suffered from disturbance of consciousness with left hemiparesis following head trauma. On admission, plain craniograms showed fracture of the bilateral vertex and a fracture crossed the right carotid canal. Right carotid angiogram revealed that the internal carotid artery was visualized "striped" and its wall was irregular narrowing. Angiogram taken nine days after the trauma showed an improvement of the stenosis. Consciousness disturbance and neurological signs had gradually improved by the end of the fourth post traumatic month. In the follow-up angiographical study, six months after the injury, the stenosis of internal carotid artery was found greatly improved.

Adult↗

PubMed1980

[Consideration of the mechanisms of head injury in boxing--case report (author's transl)].

A case of a boxer aged 26 years who was knocked out by a series of five punches and died in consequence after 3 days was reported. This boxing match was recorded incidentally by video recorder, so that we could consider the mechanisms of the head injury and reveal the correlation between the punches on the head and the brain damages, comparing the video-record with the autopsy findings. The post-mortem examination showed that there were a slight subdural hematoma on the convex surface of the right cerebral hemisphere and a marked cerebral contusion from both frontal bases to the inside of the right temporal lobe and from the left thalamus to the upper part of the mesencephalon. Characteristically, these contusions occupied the central and anterior part of the brain. From the localization of the contusion, it was supposed that these damages were caused by the hasty twist and strain of the brain and brainstem, when the head was quickly rotated around the cervical column in horizontal direction by the punches. The analysis of the series of five punches revealed that the last two punches made the head rotate quickly from left side to right around the cervical column in horizontal direction. These result of the analysis support the inference that this rotating movement of the head brought about the damage.

Adult↗

PubMed1980

[Pulmonary metastasis from cerebellar medulloblastoma--report of a case and review of the cases in the literature (author's transl)].

A case of medulloblastoma with pulmonary metastasis was reported. The patient was a 9-year old female who was diagnosed as cerebellar medulloblastoma and treated by total removal of the tumor with adjuvant radiotherapy. The recurrence occurred and the expired 4 months after surgery. The entire clinical course was 2 1/2 years. Autopsy revealed a secondary focus of medulloblastoma in the upper lobe of right lung. No residural tumor was found in the brain. In the literature, 54 cases of extracranial metastasis of medulloblastoma was reported. Only eight of which lead metastatic deposits in the lung. We discussed the possible routes and sites of metastasis in relation to the treatment and prognosis on these cases who showed extracranial metastasis of medulloblastoma.

Cerebellar Neoplasms↗