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Unusual Posttraumatic Vascular and Cerebral Injuries in Young Patients
Author(s) -
Emilia Adriana Marciuc,
M. Barcan,
Bogdan Dobrovăț,
Roxana Popescu,
Cornelia Tudorache,
Danisia Haba
Publication year - 2018
Publication title -
romanian neurosurgery
Language(s) - English
Resource type - Journals
eISSN - 2344-4959
pISSN - 1220-8841
DOI - 10.2478/romneu-2018-0029
Subject(s) - medicine , blunt , middle cerebral artery , radiology , dissection (medical) , carotid arteries , angiography , cervical artery , surgery , blunt trauma , penetrating trauma , ischemia , cardiology
Blunt carotid artery injury is a relatively rare but potentially lethal injury that predominantly occurs in high-impact mechanisms such as motor-vehicle collision. Any simptoms or neurological deficits following a multiple trauma patient mandates a thorough evaluation and consideration of BCI. This is a case report on two young patients with neurologic simptoms developed after blunt trauma in the cervical region. Both patients had left internal carotid artery dissection diagnosed on a CT-angiography, followed by middle cerebral artery territory infarction. Although it can be a delayed onset with no signs of vascular demage, we believe that, by implementing a protocol with additional imaging for early detection, we can prevent a devastating outcome.

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