Blunt traumatic carotid dissection with delayed symptoms

Eugenio Pozzati, Giuliano Giuliani, Massimo Poppi, Alessandro Faenza

Research output: Contribution to journalArticle

86 Citations (Scopus)

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 languageEnglish
Pages (from-to)412-416
Number of pages5
JournalStroke
Volume20
Issue number3
Publication statusPublished - 1989

Fingerprint

Dissection
Dissecting Aneurysm
Wounds and Injuries
Intracranial Aneurysm
Craniocerebral Trauma
Aneurysm
Ligation
Angiography
Neck

Keywords

  • Carotid artery diseases
  • Dissection

ASJC Scopus subject areas

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

Cite this

Pozzati, E., Giuliani, G., Poppi, M., & Faenza, A. (1989). Blunt traumatic carotid dissection with delayed symptoms. Stroke, 20(3), 412-416.

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 journalArticle

Pozzati, E, Giuliani, G, Poppi, M & Faenza, A 1989, 'Blunt traumatic carotid dissection with delayed symptoms', Stroke, vol. 20, no. 3, pp. 412-416.
Pozzati E, Giuliani G, Poppi M, Faenza A. Blunt traumatic carotid dissection with delayed symptoms. Stroke. 1989;20(3):412-416.
Pozzati, Eugenio ; Giuliani, Giuliano ; Poppi, Massimo ; Faenza, Alessandro. / Blunt traumatic carotid dissection with delayed symptoms. In: Stroke. 1989 ; Vol. 20, No. 3. pp. 412-416.
@article{192e2c9609e349e1aa9bf015a31bbe50,
title = "Blunt traumatic carotid dissection with delayed symptoms",
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.",
keywords = "Carotid artery diseases, Dissection",
author = "Eugenio Pozzati and Giuliano Giuliani and Massimo Poppi and Alessandro Faenza",
year = "1989",
language = "English",
volume = "20",
pages = "412--416",
journal = "Stroke",
issn = "0039-2499",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

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

UR - http://www.scopus.com/inward/record.url?scp=0024511737&partnerID=8YFLogxK

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 -