[Traumatic dissection of the internal carotid artery]
Details
Serval ID
serval:BIB_07C968657FFC
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
[Traumatic dissection of the internal carotid artery]
Journal
Unfallchirurg
ISSN
0177-5537
Publication state
Published
Issued date
01/1990
Peer-reviewed
Oui
Volume
93
Number
1
Pages
6-10
Notes
Case Reports
English Abstract
Kaech, D
Maeder, P
Uske, A
Motateanu, M
Bischof-Delaloye, A
Bogousslavski, J
Germany, west
Der Unfallchirurg
Unfallchirurg. 1990 Jan;93(1):6-10. --- Old month value: Jan
English Abstract
Kaech, D
Maeder, P
Uske, A
Motateanu, M
Bischof-Delaloye, A
Bogousslavski, J
Germany, west
Der Unfallchirurg
Unfallchirurg. 1990 Jan;93(1):6-10. --- Old month value: Jan
Abstract
Two patients with posttraumatic dissection of the internal carotid artery were referred to the neurosurgical department with secondary neurological deterioration following a minor head injury with concussion. Both developed aphasia and right hemiparesis during the first few hours after the accident; one patient also had right focal seizures. On admission, both were only mildly lethargic, which contrasted with the severity of the focal neurological signs. Early CT scan was normal in both cases, whereas cerebral blood flow (CBF) studies by single photon emission computerized tomography (SPECT) with Tc-HMPAO (Ceretec) showed perfusion defects in the region supplied by the left middle cerebral artery (MCA), correlating with the clinical picture. Doppler sonography disclosed pathologic flow patterns, and carotid angiography demonstrated dissection of the internal carotid artery, in one patient on the left only and in the other bilaterally, with embolic occlusion of a branch of the left MCA in the latter case. Clinical features, pathogenesis, diagnostic workup and possible treatment (medical, as in our two cases, versus surgical) of this rare pathology are briefly reviewed.
Keywords
Adult
Aneurysm, Dissecting/*diagnosis
Angiography, Digital Subtraction
Carotid Artery Diseases/*diagnosis
*Carotid Artery Injuries
Diagnosis, Differential
Female
Humans
Intracranial Aneurysm/*diagnosis
Middle Aged
Tomography, Emission-Computed, Single-Photon
Ultrasonography
Pubmed
Web of science
Create date
10/04/2008 16:52
Last modification date
20/08/2019 12:30