Traumatic brachiocephalic pseudoaneurysm presenting with delayed stroke: case report.
We report a traumatic pseudoaneurysm of the internal carotid artery bifurcation and subclavian artery with recurrent strokes events in a 19-year-old man. He was admitted with an acute left hemiparesis. His history revealed a similar episode 1 year and a major car accident 3 years previously. Contrast enhanced MR angiography confirmed colour Doppler sonographic findings of a carotid and subclavian artery pseudoaneurysm presumably resulting from seat-belt trauma. The pseudoaneurysm, containing thrombus, was thought to be the source of artery-to-artery embolism.
Sommer
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A
Department of Radiology, University Hospital Mannheim, Medical Faculty of University Heidelberg, Germany.
Meairs
S
S
Gueckel
F
F
Cornelius
A
A
Schwartz
A
A
D000063:Accidents, Traffic; D000328:Adult; D017541:Aneurysm, False / Q000150:complications* / Q000175:diagnosis / Q000209:etiology; D002340:Carotid Artery Diseases / Q000150:complications* / Q000175:diagnosis / Q000209:etiology; D020212:Carotid Artery Injuries / Q000150:complications* / Q000175:diagnosis; D002343:Carotid Artery, Internal; D002533:Cerebral Angiography; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D012008:Recurrence; D012622:Seat Belts / Q000009:adverse effects*; D020521:Stroke / Q000209:etiology*; D013348:Subclavian Artery / Q000293:injuries*; D013997:Time Factors; D017585:Ultrasonography, Doppler, Transcranial