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Unusual case of traumatic carotid artery dissection occurred during a work-related activity. A case report

Carotid artery dissection secondary to cervical blunt trauma is a rare and potentially life-threatening condition that can cause a variety of clinical presentations, including stroke, headache, neck pain, tinnitus, Horner syndrome and cranial neuropathies and is associated with long-term sequelae. W...

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Autores principales: Garberi, Cesare, Ravizza, Rossana, Colombo, Riccardo, Borromeo, Federica, Rossetti, Chiara, Cisini, Simone, Motta, Marco, Birkhoff, Jutta Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mattioli 1885 srl 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7682173/
https://www.ncbi.nlm.nih.gov/pubmed/30378589
http://dx.doi.org/10.23749/mdl.v110i5.7642
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author Garberi, Cesare
Ravizza, Rossana
Colombo, Riccardo
Borromeo, Federica
Rossetti, Chiara
Cisini, Simone
Motta, Marco
Birkhoff, Jutta Maria
author_facet Garberi, Cesare
Ravizza, Rossana
Colombo, Riccardo
Borromeo, Federica
Rossetti, Chiara
Cisini, Simone
Motta, Marco
Birkhoff, Jutta Maria
author_sort Garberi, Cesare
collection PubMed
description Carotid artery dissection secondary to cervical blunt trauma is a rare and potentially life-threatening condition that can cause a variety of clinical presentations, including stroke, headache, neck pain, tinnitus, Horner syndrome and cranial neuropathies and is associated with long-term sequelae. We report a case of a 49-year-old industrial vehicles mechanic who was projected to the ground by the explosion of the tire of a heavy truck he was inflating. In the following hours he presented various neurological signs and symptoms and was admitted to the Emergency Department. During hospitalization the patient underwent clinical and instrumental investigations with AngioCT and MR finding of left internal carotid artery dissection in correspondence of its cervical segment and three acute ischemic lesions in the left temporal, parietal and occipital lobes. Medical management was successful and the patient was discharged from the hospital three weeks after the admission but he wasn’t able to get back to work due to neurological sequelae. This case report illustrates that traumatic carotid artery dissection, although rare, should be considered in patients who present neurological symptoms after an explosion, can meet the criteria for a work-related injury and may lead to a permanent decrease in the ability to work.
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spelling pubmed-76821732021-01-29 Unusual case of traumatic carotid artery dissection occurred during a work-related activity. A case report Garberi, Cesare Ravizza, Rossana Colombo, Riccardo Borromeo, Federica Rossetti, Chiara Cisini, Simone Motta, Marco Birkhoff, Jutta Maria Med Lav Original Article Carotid artery dissection secondary to cervical blunt trauma is a rare and potentially life-threatening condition that can cause a variety of clinical presentations, including stroke, headache, neck pain, tinnitus, Horner syndrome and cranial neuropathies and is associated with long-term sequelae. We report a case of a 49-year-old industrial vehicles mechanic who was projected to the ground by the explosion of the tire of a heavy truck he was inflating. In the following hours he presented various neurological signs and symptoms and was admitted to the Emergency Department. During hospitalization the patient underwent clinical and instrumental investigations with AngioCT and MR finding of left internal carotid artery dissection in correspondence of its cervical segment and three acute ischemic lesions in the left temporal, parietal and occipital lobes. Medical management was successful and the patient was discharged from the hospital three weeks after the admission but he wasn’t able to get back to work due to neurological sequelae. This case report illustrates that traumatic carotid artery dissection, although rare, should be considered in patients who present neurological symptoms after an explosion, can meet the criteria for a work-related injury and may lead to a permanent decrease in the ability to work. Mattioli 1885 srl 2018 2018-10-30 /pmc/articles/PMC7682173/ /pubmed/30378589 http://dx.doi.org/10.23749/mdl.v110i5.7642 Text en Copyright: © 2020 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA http://creativecommons.org/licenses/by-nc-sa/4.0 This work is licensed under a Creative Commons Attribution 4.0 International License
spellingShingle Original Article
Garberi, Cesare
Ravizza, Rossana
Colombo, Riccardo
Borromeo, Federica
Rossetti, Chiara
Cisini, Simone
Motta, Marco
Birkhoff, Jutta Maria
Unusual case of traumatic carotid artery dissection occurred during a work-related activity. A case report
title Unusual case of traumatic carotid artery dissection occurred during a work-related activity. A case report
title_full Unusual case of traumatic carotid artery dissection occurred during a work-related activity. A case report
title_fullStr Unusual case of traumatic carotid artery dissection occurred during a work-related activity. A case report
title_full_unstemmed Unusual case of traumatic carotid artery dissection occurred during a work-related activity. A case report
title_short Unusual case of traumatic carotid artery dissection occurred during a work-related activity. A case report
title_sort unusual case of traumatic carotid artery dissection occurred during a work-related activity. a case report
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7682173/
https://www.ncbi.nlm.nih.gov/pubmed/30378589
http://dx.doi.org/10.23749/mdl.v110i5.7642
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