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From the Departments of Neurology (Dr. Kase), Neurosurgery (Dr. White), Surgery (Dr. Vinson), and Radiology (Dr. Eichelberger), University of South Alabama, Mobile, AL.
Address correspondence and reprint requests to Dr. Kase, Neurology Department, University of South Alabama, College of Medicine, 2451 Fillingim Street, Mobile, AL 36617.
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.
Accepted for publication June 25, 1980
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