[Late complications of closed injuries of the extracranial carotid artery. Apropos of 2 cases].
Closed injury with lesions of the great vessels of the neck are rare and usually due to high energy mechanisms with severe secondary deficit. 2 cases are reported, concerning young patients with relatively mild injury, neurological deficit not developing before 6 months after the traumatism in the first case and 8 months in the second. At this stage, the neurological signs were immediately severe, with cerebral infarction, leading to death in the first case. Pathological lesion of lesion of pseudo-anevrismal type, localised at the right carotid and subclavian artery bifurcation, was evidenced in the first case. In the second case, a bilateral intimal lesion of the carotid arteries at C1 level is illustrated on angiography. The mechanism of these lesions as well as the delayed manifestation of neurological deficits are discussed.
D000328:Adult; D000783:Aneurysm / Q000175:diagnosis; D020212:Carotid Artery Injuries; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D019838:Neck Injuries; D011379:Prognosis; D012421:Rupture; D013997:Time Factors; D014949:Wounds, Nonpenetrating / Q000150:complications*
Complications tardives de traumatismes fermés de la carotide extracrânienne. A propos de deux cas.