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Internal Carotid Artery Dissection with Lidocaine Nerve Block Injection Trauma: A Rare Case Report

Internal carotid artery dissection (ICAD) accounts for 25% of cerebrovascular accidents in young and middle-aged patients. Dissection occurs when the intimal wall of an artery is damaged as a result of trauma or defect. ICAD development after dental work is a relatively uncommon phenomenon. Our stud...

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Detalles Bibliográficos
Autores principales: Narula, Naureen, Siddiqui, Faraz, Katyal, Nakul, Avula, Akshay, Chalhoub, Michel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5837233/
https://www.ncbi.nlm.nih.gov/pubmed/29531880
http://dx.doi.org/10.7759/cureus.2027
Descripción
Sumario:Internal carotid artery dissection (ICAD) accounts for 25% of cerebrovascular accidents in young and middle-aged patients. Dissection occurs when the intimal wall of an artery is damaged as a result of trauma or defect. ICAD development after dental work is a relatively uncommon phenomenon. Our study highlights a rare presentation of ICAD that resulted from a direct lidocaine nerve block injection in a patient undergoing pulpotomy for a right maxillary second premolar tooth. We have described the case and reviewed the literature on this rare but potentially life-threatening phenomenon.