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Images in Neurology
September 2002

Progressive Stroke Following Soccer PlayingSuccessful Treatment by Emergency Carotid Endarterectomy

Arch Neurol. 2002;59(9):1484-1485. doi:10.1001/archneur.59.9.1484

A 28-YEAR-OLD MAN had sudden-onset motor aphasia, progressive somnolence, and right-sided motor hemiparesis 3 hours after intense soccer playing. On admission to our neurology department 1 hour after symptom onset, the results of a computed tomographic scan were normal, and duplex ultrasonography showed a partially occluding thrombus (Figure 1), extending from the left carotid bifurcation 3 cm into the internal carotid artery. Clinically, the patient's somnolence and right-sided hemiparesis worsened, and he underwent immediate thromboendarterectomy in the Department of Vascular Surgery, Technical University of Munich, Munich, Germany.

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