A unique case of fatal paradoxic muscle embolism in a patient with a traumatic carotid cavernous fistula is described. The muscle plug intended to occlude a left sided fistula passed through the large fistula, bypassed the lungs by way of a patent foramen ovale, and embolized through the right carotid artery to lodge in the internal carotid and middle cerebral arteries producing fatal brain infarction. The autopsy findings are described.
ASJC Scopus subject areas
- Clinical Neurology