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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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Formato: | Texto |
Lenguaje: | English |
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Yale Journal of Biology and Medicine
2005
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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. |
format | Text |
id | pubmed-2259146 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2005 |
publisher | Yale Journal of Biology and Medicine |
record_format | MEDLINE/PubMed |
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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