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Figure 1. A 19-year-old man presented to the emergency room after sustaining a gunshot wound to the right side of his chest. He had a hemopneumothorax, but his condition was otherwise stable, and a chest drainage tube was inserted. Sixteen hours after admission, profound left-sided weakness developed, and the patient became progressively obtunded. A computed tomographic scan obtained soon thereafter revealed mild effacement of the right lateral ventricle. Hyperdensity of the right middle cerebral artery, indicating acute thrombus, was also present (arrowhead in Panel A). A carotid arteriogram revealed complete occlusion of the right internal carotid artery by the . . . [Full Text of this Article] |
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