Traumatic pseudoaneurysm of the internal carotid artery presenting with oculosympathetic palsy.
BACKGROUND
Blunt internal carotid artery (ICA) injury is rare but undiagnosed can have disastrous clinical consequences.


OBJECTIVE
To report a late presentation of blunt ICA injury in a young male following a road traffic accident.


RESULTS
A 16-year-old male presented 11 days following a head injury with a unilateral Horner's syndrome. Imaging confirmed a pseudoaneurysm of the ICA. The patient was treated with anticoagulant therapy.


CONCLUSIONS
Diagnosis of ICA injury requires a high index of suspicion and presentation with unusual neurological signs following blunt trauma to the head and neck requires prompt investigation.
Singh
R R
RR
Department of Vascular Surgery, Beaumont Hospital, Dublin, Ireland.
Thomas
A A
AA
Barry
M C
MC
Bouchier-Hayes
D J
DJ
D000063:Accidents, Traffic; D000293:Adolescent; D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000188:drug therapy* / Q000209:etiology; D000925:Anticoagulants / Q000627:therapeutic use; D020215:Carotid Artery, Internal, Dissection / Q000000981:diagnostic imaging* / Q000188:drug therapy* / Q000209:etiology; D006259:Craniocerebral Trauma / Q000175:diagnosis / Q000628:therapy; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006732:Horner Syndrome / Q000175:diagnosis*; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D009104:Multiple Trauma / Q000175:diagnosis / Q000628:therapy; D011859:Radiography; D018570:Risk Assessment; D016896:Treatment Outcome
D000925:Anticoagulants