Blunt traumatic carotid dissection with delayed symptoms

Eugenio Pozzati, Giuliano Giuliani, Massimo Poppi, Alessandro Faenza

Research output: Contribution to journalArticlepeer-review


We describe five patients with blunt traumatic carotid dissection with delayed clinical presentation that varied from 2 weeks to 6 months. Four patients had severe head injury, and one patient had direct blunt trauma to the neck. Cerebrovascular symptoms developed in four patients. The fifth patient suffered loss of vision as a result of a concurrent giant intracranial dissecting aneurysm. Arteriography demonstrated a “string sign” in two cases and a cervical carotid aneurysm in three; two of the hitter also had siphon occlusion, and one of these had a superimposed supraclinoid dissecting aneurysm. One patient was treated by thromboendarter-ectomy, one by aneurysmorraphy, another by carotid ligation, and the other two patients were treated medically. Mechanisms of injury, forensic problems, and therapeutic options are discussed.

Original languageEnglish
Pages (from-to)412-416
Number of pages5
Issue number3
Publication statusPublished - 1989


  • Carotid artery diseases
  • Dissection

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Clinical Neurology
  • Advanced and Specialised Nursing
  • Neuroscience(all)


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