<abstract xmlns="http://www.w3.org/1999/xhtml"><bold>Introduction:</bold> Lesions of the carotid and vertebral arteries secondary to direct trauma, called blunt cerebrovascular injuries (BCVI) are relatively rare and are markedly different from spontaneous dissections. Ischaemic stroke is a significant complication, with high morbidity and mortality rates. The basis of a diagnosis relies on appropriate, high sensitivity imaging screening.<bold>Case report</bold>: We present the case of a 31 years old male patient with polytraumatism secondary to a motor vehicle accident, who was admitted to an orthopaedic clinic for multiple lower extremity fractures. His fractures were treated surgically. He developed in the 3rd day after the admission left sided hemiparesis secondary to ischaemic stroke. The diagnosis of traumatic carotid artery injury (TCAI) was based on duplex ultrasound and angio CT scans. The outcome was favourable despite the severe carotid lesions presenting with occlusion secondary to dissection.<bold>Conclusions</bold>: In the majority of BCVI cases there is a variable latent period between the time of injury and the development of stroke. The management of cases is challenging because in the majority of cases there are multiple associated injuries. Although antithrombotics are widely used in the treatment, there is no consensus regarding the type of agent, the optimal dose or treatment duration.</abstract>

Introduction: Lesions of the carotid and vertebral arteries secondary to direct trauma, called blunt cerebrovascular injuries (BCVI) are relatively rare and are markedly different from spontaneous dissections. Ischaemic stroke is a significant complication, with high morbidity and mortality rates. The basis of a diagnosis relies on appropriate, high sensitivity imaging screening.Case report: We present the case of a 31 years old male patient with polytraumatism secondary to a motor vehicle accident, who was admitted to an orthopaedic clinic for multiple lower extremity fractures. His fractures were treated surgically. He developed in the 3rd day after the admission left sided hemiparesis secondary to ischaemic stroke. The diagnosis of traumatic carotid artery injury (TCAI) was based on duplex ultrasound and angio CT scans. The outcome was favourable despite the severe carotid lesions presenting with occlusion secondary to dissection.Conclusions: In the majority of BCVI cases there is a variable latent period between the time of injury and the development of stroke. The management of cases is challenging because in the majority of cases there are multiple associated injuries. Although antithrombotics are widely used in the treatment, there is no consensus regarding the type of agent, the optimal dose or treatment duration.

Stroke Secondary to Traumatic Carotid Artery Injury – A Case Report

University of Medicine and Pharmacy Târgu Mureş

Mureş County Clinical Emergency Hospital

The Journal of Critical Care Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

{"article-title":"Stroke Secondary to Traumatic Carotid Artery Injury \u2013 A Case Report"}

Introduction: Lesions of the carotid and vertebral arteries secondary to direct trauma, called blunt cerebrovascular injuries (BCVI) are relatively rare and...

Stroke Secondary to Traumatic Carotid Artery Injury – A Case Report

Pubblicato online: 09 feb 2018

Pagine: 23 - 28

Ricevuto: 11 ago 2017

Accettato: 26 gen 2018

DOI: https://doi.org/10.2478/jccm-2018-0003

Parole chiave
blunt cerebrovascular injuries, traumatic carotid artery injury, post-traumatic dissection, carotid artery, stroke

© 2018 Zoltán Bajkó et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Stroke Secondary to Traumatic Carotid Artery Injury – A Case Report

Pubblicato online: 09 feb 2018

Pagine: 23 - 28

Ricevuto: 11 ago 2017

Accettato: 26 gen 2018

DOI: https://doi.org/10.2478/jccm-2018-0003

Parole chiaveblunt cerebrovascular injuries, traumatic carotid artery injury, post-traumatic dissection, carotid artery, stroke

© 2018 Zoltán Bajkó et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Parole chiave
blunt cerebrovascular injuries, traumatic carotid artery injury, post-traumatic dissection, carotid artery, stroke