[Bilateral traumatic dissection of the carotid artery].
Bilateral carotid artery dissection is a rare and unusual complication of blunt cervicofacial trauma. The diagnosis of a carotid injury is rarely suspected in trauma patients with neurological deficits. Neurological symptoms may develop in a delayed fashion. Angiography should be considered in trauma patients with hemiplegia and a normal mental status and in patients with blunt cervical trauma with an abnormal neurological examination. Initial heparinisation can prevent arterial thrombosis and neurological deterioration.
Mollen
R M
RM
Abteilung Chirurgie und Unfallchirurgie, Universitätsklinik, Nijmegen, Niederlande.
Biert
J
J
Klemm
P L
PL
Buskens
F G
FG
Goris
J R
JR
D000293:Adolescent; D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging*; D020212:Carotid Artery Injuries; D002341:Carotid Artery Thrombosis / Q000000981:diagnostic imaging; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D009104:Multiple Trauma / Q000000981:diagnostic imaging* / Q000601:surgery; D019838:Neck Injuries / Q000000981:diagnostic imaging*; D009460:Neurologic Examination; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging*
Die doppelseitige traumatische Dissektion der Halsschlagader.