title: Bilateral blunt carotid artery injury: a case report and review of the literature.
abstract: A 22-year-old man sustained a strangulation-type injury to the neck, with bilateral blunt carotid artery injuries detected on computed tomography (CT) angiography. His Glasgow Coma Score was 15/15, and he was managed conservatively with therapeutic low-molecular-weight heparin and antiplatelet therapy. A repeat CT angiogram 6 weeks later showed complete resolution of an intimal flap, and he demonstrated no neurological deterioration. There are no definitive management guidelines regarding this type of injury, and our report emphasises the role of conservative anticoagulation therapy in the management of this rare condition.
authors.affiliation: Department of General Surgery, University of Kwa-Zulu Natal, Durban, South Africa. scheddie@gmail.com
authors.forename: Shalen
authors.initials: S
authors.lastname: Cheddie
authors.forename: Bala
authors.initials: B
authors.lastname: Pillay
authors.forename: Riaz
authors.initials: R
authors.lastname: Goga
mesh_terms: D000792:Angiography; D000925:Anticoagulants / Q000627:therapeutic use*; D001237:Asphyxia / Q000209:etiology; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging* / Q000188:drug therapy* / Q000209:etiology; D015600:Glasgow Coma Scale; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging* / Q000188:drug therapy* / Q000209:etiology; D055815:Young Adult
chemical_list: D000925:Anticoagulants