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NEUROLOGY 1981;31:458
© 1981 American Academy of Neurology

Shotgun pellet embolus to the middle cerebral artery

Carlos S. Kase, M.D., Robert L. White, M.D., Thomas L. Vinson, M.D. and Robert P. Eichelberger, M.D.

Department of Neurology (Dr. Kase), Neurosurgery (Dr. White), Surgery (Dr. Vinson), and Radiology (Dr. Eichelberger), University of South Alabama, Mobile, AL.

A 24-year-old man had a massive right cerebral infarction after occlusion of the middle cerebral artery trunk by a shotgun pellet that embolized from the heart during external cardiac massage for cardiac arrest. The cerebral infarct was followed by massive edema, uncal herniation, and death.

Address correspondence and reprint requests to Dr. Kase, Neurology Department, University of South Alabama, College of Medicine, 2451 Fillingim Street, Mobile, AL 36617.

Accepted for publication June 25, 1980






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