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.
Haussermann P, Conrad B, Richter TH, Brandl R. Progressive Stroke Following Soccer Playing: Successful Treatment by Emergency Carotid Endarterectomy. Arch Neurol. 2002;59(9):1484–1485. doi:10.1001/archneur.59.9.1484
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