Abstract
Traumatic common carotid artery dissection (CCAD) is rare. To our knowledge, only 14 case reports have described traumatic CCAD previously. Here, we report a case of CCAD in a patient with severe trauma. A 50-year-old man was lying on the road after drinking alcohol when a car drove over him. Computed tomography (CT) revealed multiple rib fractures with hemopneumothorax, lung contusion, flail chest, large amount of hematoma with bladder rupture, and fractures on the C6 spinous process, sacral ala, iliac bone, and pubic ramus. Repair of the bladder rupture, exploratory thoracotomy, and open reduction of multiple rib fractures were performed. Right side hemiparesis was observed on hospital day 4. Brain CT showed a large acute left middle cerebral artery infarction. CT angiography showed focal carotid dissection at the left common carotid artery with intimal flap. The CCAD was located at the C6 level. Clexane (enoxaparin sodium) treatment was initiated. An abdominal CT scan revealed a huge retroperitoneal hematoma and increased amount of hematoma in the prevesical and perivesical space, 10 days later. The patient died two days later. Although traumatic CCAD is rare, this case report provides useful information for trauma surgeons ...Continue Reading
References
Oct 1, 1990·Journal of Neurology·B Mokri
May 1, 1967·The Journal of Trauma·S YamadaJ R Youmans
Mar 1, 1980·Annals of Surgery·L P Krajewski, N R Hertzer
Jul 1, 1980·Annals of Surgery·M O PerryE R Thal
Mar 1, 1995·Journal of Neurology·M Sturzenegger
May 1, 1994·Stroke; a Journal of Cerebral Circulation·W SteinkeM Hennerici
Nov 1, 1993·Stroke; a Journal of Cerebral Circulation·W I SchievinkJ P Whisnant
Feb 10, 1994·The New England Journal of Medicine·W I SchievinkW M O'Fallon
Feb 5, 2000·Acta Neurologica Scandinavica·M ZetterlingP Konrad
Jun 26, 2003·European Neurology·Yi-Chun ChenSien-Tsong Chen
Nov 13, 2004·European Neurology·N CiminiG Moretto
Jun 15, 2006·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·I ChokyuT Itakura
Sep 21, 2010·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Victor ZachJesse M Weinberger
Jan 29, 2014·Journal of Pediatric Neurosciences·Trilochan Srivastava, Kadam Nagpal
Jul 15, 2015·Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi·Feriyde-Ç TürÖzge-Duman Atilla
Jan 1, 1991·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·J WeinbergerM Lidov