Abstract
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 language | English |
|---|---|
| Pages (from-to) | 412-416 |
| Number of pages | 5 |
| Journal | Stroke |
| Volume | 20 |
| Issue number | 3 |
| Publication status | Published - 1989 |
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Keywords
- Carotid artery diseases
- Dissection
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Clinical Neurology
- Advanced and Specialised Nursing
- Neuroscience(all)
Cite this
Blunt traumatic carotid dissection with delayed symptoms. / Pozzati, Eugenio; Giuliani, Giuliano; Poppi, Massimo; Faenza, Alessandro.
In: Stroke, Vol. 20, No. 3, 1989, p. 412-416.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Blunt traumatic carotid dissection with delayed symptoms
AU - Pozzati, Eugenio
AU - Giuliani, Giuliano
AU - Poppi, Massimo
AU - Faenza, Alessandro
PY - 1989
Y1 - 1989
N2 - 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.
AB - 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.
KW - Carotid artery diseases
KW - Dissection
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UR - http://www.scopus.com/inward/citedby.url?scp=0024511737&partnerID=8YFLogxK
M3 - Article
VL - 20
SP - 412
EP - 416
JO - Stroke
JF - Stroke
SN - 0039-2499
IS - 3
ER -