[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.
Abteilung Chirurgie und Unfallchirurgie, Universitätsklinik, Nijmegen, Niederlande.
R M
RM
Mollen
J
J
Biert
P L
PL
Klemm
F G
FG
Buskens
J R
JR
Goris
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.