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  Vol. 95 No. 4, APRIL 1955 TABLE OF CONTENTS
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Embolization of Basilar Artery by Myocardial Fragment

Report of a Case

HERBERT I. HARDER, M.D.; ALBERT F. BROWN, M.D.

AMA Arch Intern Med. 1955;95(4):587-590.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Cerebral embolism is one of the three common types of cerebral vascular accident (hemorrhage, thrombosis, embolism). All are acute in onset and severely damaging in their effects, and all offer a uniformly poor prognosis. Of these three, embolism must invariably be considered as the manifestation of an underlying disease rather than as a separate primary disease process; therefore therapy must include measures intended to alleviate the primary pathological process.

The enumeration of materials which may form emboli is an unending task and includes everything from bubbles 1 to bullets.2 The following outline is representative of the variety of cerebral emboli which have been reported in the literature:

  1. Thrombi
    1. Septic
    2. Bland
    3. Fibrin

  2. Tissue fragment emboli, originating within the victim's body
    1. Tumors
      1. Myxoma of heart 3
      2. Small secondary tumor emboli

    2. Atheromatous material
    3. Valvular vegetations and calcifications

    1. Marrow particles
    2. Amniotic fluid

  1. Foreign body emboli
    1. Air
    2. Fat and oil particles
    3. Chemicals, etc.
      1. Soap solutions


. . . [Full Text PDF of this Article]


Author Affiliations

Glendale, Calif.

Resident in Pathology, Glendale Sanitarium & Hospital (Dr. Harder); Associate Professor of Pathology, College of Medical Evangelists School of Medicine, and Pathologist, Glendale Sanitarium and Hospital (Dr. Brown).


Footnotes

Dr. Elwyn E. Stiles provided the clinical material cited.



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