Shotgun pellet embolus to the middle cerebral artery.
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.
D000328:Adult; D002533:Cerebral Angiography; D002536:Cerebral Arteries / Q000293:injuries; D002544:Cerebral Infarction / Q000000981:diagnostic imaging / Q000209:etiology; D005547:Foreign Bodies / Q000150:complications*; D005548:Foreign-Body Migration / Q000150:complications*; D006321:Heart; D006336:Heart Massage / Q000009:adverse effects; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*; D008297:Male; D014948:Wounds, Gunshot / Q000150:complications* / Q000000981:diagnostic imaging