title: Hemodynamic stroke caused by strangulation.
abstract: We report a case of watershed ischemic stroke in a 36-year-old male secondary to manual strangulation. The patient presented with a right hemiparesis with grade IV motor deficit and an expressive aphasia. Radiological investigation revealed an ischemic stroke on the left distal middle cerebral artery territory and in watershed areas of the left anterior and posterior cerebral arteries. There was no evidence of injury of cervical vessels. The hemodynamic mechanism and associated brain injury secondary to manual strangulation is described and discussed based on a literature review.
authors.affiliation: Division of Neurosurgery, University of São Paulo Medical School São Paulo, Brazil.
authors.forename: Hugo Sterman
authors.initials: HS
authors.lastname: Neto
authors.affiliation: Division of Neurosurgery, University of São Paulo Medical School São Paulo, Brazil.
authors.forename: Iuri Santana
authors.initials: IS
authors.lastname: Neville
authors.affiliation: Division of Neurosurgery, University of São Paulo Medical School São Paulo, Brazil.
authors.forename: Andre
authors.initials: A
authors.lastname: Beer-Furlan
authors.affiliation: Division of Neurosurgery, University of São Paulo Medical School São Paulo, Brazil.
authors.forename: Wagner Malago
authors.initials: WM
authors.lastname: Tavares
authors.affiliation: Division of Neurosurgery, University of São Paulo Medical School São Paulo, Brazil.
authors.forename: Manoel Jacobsen
authors.initials: MJ
authors.lastname: Teixeira
authors.affiliation: Division of Neurosurgery, University of São Paulo Medical School São Paulo, Brazil.
authors.forename: Wellingson Silva
authors.initials: WS
authors.lastname: Paiva
keywords: Strangulation; ischemic stroke; watershed