Cargando…
Traumatic Dissection of Four Brain-Supplying Arteries without Neurologic Deficit
Study Design Case report and review of the literature. Objectives Case report of a traumatic dissection of all major brain-supplying arteries resulting from a horseback-riding accident. Overview of the literature on diagnostic and therapeutic recommendations. Methods Case presentation. For the discu...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Georg Thieme Verlag KG
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4111942/ https://www.ncbi.nlm.nih.gov/pubmed/25083361 http://dx.doi.org/10.1055/s-0034-1366972 |
_version_ | 1782328144614653952 |
---|---|
author | Pröscholdt, Florian Heining, Sandro Powerski, Maciej Nolte, Christian H. Ertel, Wolfgang |
author_facet | Pröscholdt, Florian Heining, Sandro Powerski, Maciej Nolte, Christian H. Ertel, Wolfgang |
author_sort | Pröscholdt, Florian |
collection | PubMed |
description | Study Design Case report and review of the literature. Objectives Case report of a traumatic dissection of all major brain-supplying arteries resulting from a horseback-riding accident. Overview of the literature on diagnostic and therapeutic recommendations. Methods Case presentation. For the discussion, handpicked articles and PubMed database research with the keywords “dissection,” “vertebral artery,” “spine trauma,” “computed tomography,” “magnetic resonance imaging,” and “angiography” were used. Results Despite high-energy induced acute lesion of all four cervical arteries, this 45-year-old patient did not demonstrate signs of microemboli nor suffer from stroke. Conclusion In case of high-energy trauma of the head and/or the neck, emergency physicians must consider traumatic cervical artery dissection (TCAD). Thus, emergency care algorithms should routinely include computed tomography angiography and magnetic resonance imaging. Although the incidence of TCAD-induced stroke is low, antiplatelet therapy is recommended in the presence of TCAD. |
format | Online Article Text |
id | pubmed-4111942 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Georg Thieme Verlag KG |
record_format | MEDLINE/PubMed |
spelling | pubmed-41119422015-03-11 Traumatic Dissection of Four Brain-Supplying Arteries without Neurologic Deficit Pröscholdt, Florian Heining, Sandro Powerski, Maciej Nolte, Christian H. Ertel, Wolfgang Global Spine J Article Study Design Case report and review of the literature. Objectives Case report of a traumatic dissection of all major brain-supplying arteries resulting from a horseback-riding accident. Overview of the literature on diagnostic and therapeutic recommendations. Methods Case presentation. For the discussion, handpicked articles and PubMed database research with the keywords “dissection,” “vertebral artery,” “spine trauma,” “computed tomography,” “magnetic resonance imaging,” and “angiography” were used. Results Despite high-energy induced acute lesion of all four cervical arteries, this 45-year-old patient did not demonstrate signs of microemboli nor suffer from stroke. Conclusion In case of high-energy trauma of the head and/or the neck, emergency physicians must consider traumatic cervical artery dissection (TCAD). Thus, emergency care algorithms should routinely include computed tomography angiography and magnetic resonance imaging. Although the incidence of TCAD-induced stroke is low, antiplatelet therapy is recommended in the presence of TCAD. Georg Thieme Verlag KG 2014-01-31 2014-08 /pmc/articles/PMC4111942/ /pubmed/25083361 http://dx.doi.org/10.1055/s-0034-1366972 Text en © Thieme Medical Publishers |
spellingShingle | Article Pröscholdt, Florian Heining, Sandro Powerski, Maciej Nolte, Christian H. Ertel, Wolfgang Traumatic Dissection of Four Brain-Supplying Arteries without Neurologic Deficit |
title | Traumatic Dissection of Four Brain-Supplying Arteries without Neurologic Deficit |
title_full | Traumatic Dissection of Four Brain-Supplying Arteries without Neurologic Deficit |
title_fullStr | Traumatic Dissection of Four Brain-Supplying Arteries without Neurologic Deficit |
title_full_unstemmed | Traumatic Dissection of Four Brain-Supplying Arteries without Neurologic Deficit |
title_short | Traumatic Dissection of Four Brain-Supplying Arteries without Neurologic Deficit |
title_sort | traumatic dissection of four brain-supplying arteries without neurologic deficit |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4111942/ https://www.ncbi.nlm.nih.gov/pubmed/25083361 http://dx.doi.org/10.1055/s-0034-1366972 |
work_keys_str_mv | AT proscholdtflorian traumaticdissectionoffourbrainsupplyingarterieswithoutneurologicdeficit AT heiningsandro traumaticdissectionoffourbrainsupplyingarterieswithoutneurologicdeficit AT powerskimaciej traumaticdissectionoffourbrainsupplyingarterieswithoutneurologicdeficit AT noltechristianh traumaticdissectionoffourbrainsupplyingarterieswithoutneurologicdeficit AT ertelwolfgang traumaticdissectionoffourbrainsupplyingarterieswithoutneurologicdeficit |