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Carotid artery injury with cerebral infarction following head and neck blunt trauma: report of a case.

Blunt injury to the carotid artery is rare but may produce a devastating outcome with longterm morbidity. Initial recognition by clinicians is often difficult because of the diverse clinical manifestations, the delay in presentation of symptoms, and the associated multi-organ system injuries that ac...

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Detalles Bibliográficos
Autores principales: Liu, Wen-Pin, Ng, Kim-Choy, Hung, Jheng-Jing
Formato: Texto
Lenguaje:English
Publicado: Yale Journal of Biology and Medicine 2005
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2259146/
https://www.ncbi.nlm.nih.gov/pubmed/16464314
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author Liu, Wen-Pin
Ng, Kim-Choy
Hung, Jheng-Jing
author_facet Liu, Wen-Pin
Ng, Kim-Choy
Hung, Jheng-Jing
author_sort Liu, Wen-Pin
collection PubMed
description Blunt injury to the carotid artery is rare but may produce a devastating outcome with longterm morbidity. Initial recognition by clinicians is often difficult because of the diverse clinical manifestations, the delay in presentation of symptoms, and the associated multi-organ system injuries that accompany carotid injury. Early diagnosis and successful management of traumatic carotid artery injury require a high index of clinical suspicion. We report herein a 20-year-old male victim of internal carotid artery injury induced by a motorcycle accident, who initially presented with a clear consciousness and had normal computed tomogram (CT) of brain. Two days after injury, the patient suffered from left hemiplegia and coma. The follow-up brain CT showed acute infarction of right cerebrum and severe cerebral edema. Emergency craniotomy for brain decompression and anticoagulation therapy was carried out. After a three-month treatment, he was discharged and underwent regular follow-up in the outpatient department. Six months later, the patient had intact awareness but remained in a left-sided hemiparetic state.
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spelling pubmed-22591462008-03-03 Carotid artery injury with cerebral infarction following head and neck blunt trauma: report of a case. Liu, Wen-Pin Ng, Kim-Choy Hung, Jheng-Jing Yale J Biol Med Research Article Blunt injury to the carotid artery is rare but may produce a devastating outcome with longterm morbidity. Initial recognition by clinicians is often difficult because of the diverse clinical manifestations, the delay in presentation of symptoms, and the associated multi-organ system injuries that accompany carotid injury. Early diagnosis and successful management of traumatic carotid artery injury require a high index of clinical suspicion. We report herein a 20-year-old male victim of internal carotid artery injury induced by a motorcycle accident, who initially presented with a clear consciousness and had normal computed tomogram (CT) of brain. Two days after injury, the patient suffered from left hemiplegia and coma. The follow-up brain CT showed acute infarction of right cerebrum and severe cerebral edema. Emergency craniotomy for brain decompression and anticoagulation therapy was carried out. After a three-month treatment, he was discharged and underwent regular follow-up in the outpatient department. Six months later, the patient had intact awareness but remained in a left-sided hemiparetic state. Yale Journal of Biology and Medicine 2005-05 /pmc/articles/PMC2259146/ /pubmed/16464314 Text en
spellingShingle Research Article
Liu, Wen-Pin
Ng, Kim-Choy
Hung, Jheng-Jing
Carotid artery injury with cerebral infarction following head and neck blunt trauma: report of a case.
title Carotid artery injury with cerebral infarction following head and neck blunt trauma: report of a case.
title_full Carotid artery injury with cerebral infarction following head and neck blunt trauma: report of a case.
title_fullStr Carotid artery injury with cerebral infarction following head and neck blunt trauma: report of a case.
title_full_unstemmed Carotid artery injury with cerebral infarction following head and neck blunt trauma: report of a case.
title_short Carotid artery injury with cerebral infarction following head and neck blunt trauma: report of a case.
title_sort carotid artery injury with cerebral infarction following head and neck blunt trauma: report of a case.
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2259146/
https://www.ncbi.nlm.nih.gov/pubmed/16464314
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