title: Trauma to the high cervical carotid artery.
abstract: An alternative approach to the treatment of distal extracranial nonoccluding internal carotid artery penetrating injuries is described in which internal carotid artery ligation is followed expectantly. A warning transient neurologic deficit prompted an unsuccessful attempt at revascularization via a superficial temporal artery to middle cerebral artery anastomosis. The failure of the anastomosis was thought to be secondary to a postinjury hypercoagulable state and a diminished demand for intracranial blood flow secondary to an unexpected, impressive development of collateral blood supply.
mesh_terms: D000328:Adult; D020212:Carotid Artery Injuries; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000601:surgery; D002548:Cerebral Revascularization; D002560:Cerebrovascular Circulation; D003097:Collateral Circulation; D005073:Evoked Potentials, Somatosensory; D006801:Humans; D007430:Intraoperative Care; D008026:Ligation; D008297:Male; D011183:Postoperative Complications; D011859:Radiography; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000601:surgery*