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Urgent Intracranial Carotid Artery Decompression after Penetrating Head Injury

We describe a case of intracranial carotid artery occlusion due to penetrating craniofacial injury by high velocity foreign body that was relieved by decompressive surgery. A 46-year-old man presented with a penetrating wound to his face. A piece of an electric angular grinder disc became lodged in...

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Autores principales: Kim, Seong Joon, Park, Ik Seong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Neurosurgical Society 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3638272/
https://www.ncbi.nlm.nih.gov/pubmed/23634269
http://dx.doi.org/10.3340/jkns.2013.53.3.180
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author Kim, Seong Joon
Park, Ik Seong
author_facet Kim, Seong Joon
Park, Ik Seong
author_sort Kim, Seong Joon
collection PubMed
description We describe a case of intracranial carotid artery occlusion due to penetrating craniofacial injury by high velocity foreign body that was relieved by decompressive surgery. A 46-year-old man presented with a penetrating wound to his face. A piece of an electric angular grinder disc became lodged in the anterior skull base. Computed tomography revealed that the disc had penetrated the unilateral paraclinoid and suprasellar areas without flow of the intracranial carotid artery on the lesion side. The cavernous sinus was also compromised. Removal of the anterior clinoid process reopened the carotid blood flow, and the injection of glue into the cavernous sinus restored complete hemostasis during extraction of the fragment from the face. Digital subtraction angiography revealed complete recanalization of the carotid artery without any evidence of dissection. Accurate diagnosis regarding the extent of the compromised structures and urgent decompressive surgery with adequate hemostasis minimized the severity of penetrating damage in our patient.
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spelling pubmed-36382722013-04-30 Urgent Intracranial Carotid Artery Decompression after Penetrating Head Injury Kim, Seong Joon Park, Ik Seong J Korean Neurosurg Soc Case Report We describe a case of intracranial carotid artery occlusion due to penetrating craniofacial injury by high velocity foreign body that was relieved by decompressive surgery. A 46-year-old man presented with a penetrating wound to his face. A piece of an electric angular grinder disc became lodged in the anterior skull base. Computed tomography revealed that the disc had penetrated the unilateral paraclinoid and suprasellar areas without flow of the intracranial carotid artery on the lesion side. The cavernous sinus was also compromised. Removal of the anterior clinoid process reopened the carotid blood flow, and the injection of glue into the cavernous sinus restored complete hemostasis during extraction of the fragment from the face. Digital subtraction angiography revealed complete recanalization of the carotid artery without any evidence of dissection. Accurate diagnosis regarding the extent of the compromised structures and urgent decompressive surgery with adequate hemostasis minimized the severity of penetrating damage in our patient. The Korean Neurosurgical Society 2013-03 2013-03-31 /pmc/articles/PMC3638272/ /pubmed/23634269 http://dx.doi.org/10.3340/jkns.2013.53.3.180 Text en Copyright © 2013 The Korean Neurosurgical Society http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kim, Seong Joon
Park, Ik Seong
Urgent Intracranial Carotid Artery Decompression after Penetrating Head Injury
title Urgent Intracranial Carotid Artery Decompression after Penetrating Head Injury
title_full Urgent Intracranial Carotid Artery Decompression after Penetrating Head Injury
title_fullStr Urgent Intracranial Carotid Artery Decompression after Penetrating Head Injury
title_full_unstemmed Urgent Intracranial Carotid Artery Decompression after Penetrating Head Injury
title_short Urgent Intracranial Carotid Artery Decompression after Penetrating Head Injury
title_sort urgent intracranial carotid artery decompression after penetrating head injury
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3638272/
https://www.ncbi.nlm.nih.gov/pubmed/23634269
http://dx.doi.org/10.3340/jkns.2013.53.3.180
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