title: Juvenile stroke: cervical artery dissection in a patient after a polytrauma.
abstract: Dissections of the cervical arteries cause about 20% of total juvenile strokes. Approximately 4% of the carotid artery dissections are due to a (poly)trauma such as car accidents. Despite improved diagnostic facilities, traumatic dissections are often underdiagnosed or diagnosed too late due to a lack of awareness of potential initial signs and symptoms. We report here a case of a delayed embolic stroke after a car accident caused by a dissection of the carotid artery and subsequent pseudoaneurysm. To reduce the long-term morbidity or mortality of multiple trauma patients, an early detection of cervical carotid and vertebral dissections is strictly necessary.
authors: Department of Neurology, University Hospital of Münster, Münster, Bielefeld, Germany ; Department of Department of Neurology, Bethel Evangelisches Krankenhaus of Bielefeld, Bielefeld, Germany.
authors: Nicole
authors: N
authors: Marschner-Preuth
authors: Tobias
authors: T
authors: Warnecke
authors: Thomas-Ulrich
authors: TU
authors: Niederstadt
authors: Ralf
authors: R
authors: Dittrich
authors: Wolf-Rüdiger
authors: WR
authors: Schäbitz
keywords: Dissection; Juvenile stroke; Polytrauma; Pseudoaneurysm