[Traumatic dissection of the carotid artery: challenges for diagnostics and therapy illustrated by a case example].
Traumatic dissection of the carotid artery is an easily overlooked consequence of trauma with notable morbidity and mortality which can be observed in up to 4% of cases involving multiple trauma. Certain mechanisms and patterns of injury as well as specific symptoms should serve as indicators of a dissection and should therefore result in further diagnostic measures. An early diagnosis is of major relevance. This report describes the case of a 45-year-old victim of a traffic accident who showed symptoms of a dissection which had initially not been diagnosed.
Klinik für Anästhesie, Intensiv-, Notfall-, Transfusionsmedizin und Schmerztherapie, Evangelisches Krankenhaus, Burgsteig 13, 33617, Bielefeld, Deutschland, gerritjansen@web.de.
G
G
Jansen
J
J
Popp
U
U
Dietrich
F
F
Mertzlufft
F
F
Bach
D000063:Accidents, Traffic; D020212:Carotid Artery Injuries / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy*; D020215:Carotid Artery, Internal, Dissection / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy*; D002533:Cerebral Angiography; D042241:Early Diagnosis; D004632:Emergency Medical Services; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma; D014057:Tomography, X-Ray Computed; D018616:Ultrasonography, Doppler, Duplex