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Ischemic Stroke Secondary to a Stab Wound to the Neck in a Young Adult

Vertebral artery dissection is a common cause of stroke in young adults without predisposing risk factors for cerebrovascular disease. We describe the case of a 28-year-old patient who presented with an ischemic stroke secondary to a stab wound to the neck that affected the vertebral artery. A physi...

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Autores principales: Zuluaga-Gómez, Mateo, Giraldo-Campillo, Daniela, González-Arroyave, Daniel, Ardila, Carlos M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9596234/
https://www.ncbi.nlm.nih.gov/pubmed/36304568
http://dx.doi.org/10.1155/2022/9365947
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author Zuluaga-Gómez, Mateo
Giraldo-Campillo, Daniela
González-Arroyave, Daniel
Ardila, Carlos M.
author_facet Zuluaga-Gómez, Mateo
Giraldo-Campillo, Daniela
González-Arroyave, Daniel
Ardila, Carlos M.
author_sort Zuluaga-Gómez, Mateo
collection PubMed
description Vertebral artery dissection is a common cause of stroke in young adults without predisposing risk factors for cerebrovascular disease. We describe the case of a 28-year-old patient who presented with an ischemic stroke secondary to a stab wound to the neck that affected the vertebral artery. A physical examination revealed neurological deterioration (Glasgow 8/15), a sutured neck wound, no palpable hematoma, no thrills, and no active bleeding. A computed tomography angiography revealed a left vertebral artery arteriovenous fistula with a component of a pseudoaneurysm, for which a neurointerventional consultation was carried out. Due to neurological compromise, the airway was secured, and because the case involved a posterior fossa infarction with compression of the fourth ventricle and obstructive secondary hydrocephalus, an external ventricular shunt was inserted by neurosurgery. A fistula occlusion was performed with five Axium coils and a vial of Squid 12; the vertebral artery was catheterized, and a craniotomy was performed to manage hydrocephalus with a 12-mm H(2)O collecting system. The patient was discharged on the tenth day after admission with sequelae of left hemiparesis (predominantly brachial) and no other deficits. There was no hemorrhagic transformation on the control computed tomography scans and no further complications.
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spelling pubmed-95962342022-10-26 Ischemic Stroke Secondary to a Stab Wound to the Neck in a Young Adult Zuluaga-Gómez, Mateo Giraldo-Campillo, Daniela González-Arroyave, Daniel Ardila, Carlos M. Case Rep Med Case Report Vertebral artery dissection is a common cause of stroke in young adults without predisposing risk factors for cerebrovascular disease. We describe the case of a 28-year-old patient who presented with an ischemic stroke secondary to a stab wound to the neck that affected the vertebral artery. A physical examination revealed neurological deterioration (Glasgow 8/15), a sutured neck wound, no palpable hematoma, no thrills, and no active bleeding. A computed tomography angiography revealed a left vertebral artery arteriovenous fistula with a component of a pseudoaneurysm, for which a neurointerventional consultation was carried out. Due to neurological compromise, the airway was secured, and because the case involved a posterior fossa infarction with compression of the fourth ventricle and obstructive secondary hydrocephalus, an external ventricular shunt was inserted by neurosurgery. A fistula occlusion was performed with five Axium coils and a vial of Squid 12; the vertebral artery was catheterized, and a craniotomy was performed to manage hydrocephalus with a 12-mm H(2)O collecting system. The patient was discharged on the tenth day after admission with sequelae of left hemiparesis (predominantly brachial) and no other deficits. There was no hemorrhagic transformation on the control computed tomography scans and no further complications. Hindawi 2022-10-18 /pmc/articles/PMC9596234/ /pubmed/36304568 http://dx.doi.org/10.1155/2022/9365947 Text en Copyright © 2022 Mateo Zuluaga-Gómez et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Zuluaga-Gómez, Mateo
Giraldo-Campillo, Daniela
González-Arroyave, Daniel
Ardila, Carlos M.
Ischemic Stroke Secondary to a Stab Wound to the Neck in a Young Adult
title Ischemic Stroke Secondary to a Stab Wound to the Neck in a Young Adult
title_full Ischemic Stroke Secondary to a Stab Wound to the Neck in a Young Adult
title_fullStr Ischemic Stroke Secondary to a Stab Wound to the Neck in a Young Adult
title_full_unstemmed Ischemic Stroke Secondary to a Stab Wound to the Neck in a Young Adult
title_short Ischemic Stroke Secondary to a Stab Wound to the Neck in a Young Adult
title_sort ischemic stroke secondary to a stab wound to the neck in a young adult
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9596234/
https://www.ncbi.nlm.nih.gov/pubmed/36304568
http://dx.doi.org/10.1155/2022/9365947
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