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Angiogram of the right common carotid artery (lateral view) demonstrating complete occlusion of the internal carotid artery (arrow), 10 mm distal from the bifurcation.
Source publication
A 10-month-old boy presented with traumatic internal carotid artery (ICA) occlusion caused by blunt injury after falling from a baby carrier attached to a standing bicycle. Physical examination found bruises on the scalp in the right temporal region and the right shoulder, but no wound in the neck. Chest radiography showed a right clavicular fractu...
Context in source publication
Context 1
... right ICA (Fig. 2). Angiography disclosed complete occlusion of the right ICA 10 mm distal from the bifurcation of the common carotid artery (Fig. 3) and complete obliteration of the upper trunk of the right middle cerebral artery (Fig. 4). The diagnosis was traumatic occlusion of the right cervical ICA and embolic obstruction of the upper trunk of the right middle cerebral artery. The bruising was located on the head and shoulder, but not on the neck, so the patient was considered ...
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Introduction
Penetrating neck injuries (PNI) are common and associated with arterial and other neuronal injuries. Although many authors have written on penetrating and blunt carotid artery injuries as a result of PNI or traumatic neck injuries, no one has reported a case or case series on PNI that resulted in blunt carotid dissection and stenosis....
Penetrating carotid artery traumas are rare yet fatal injuries with a high rate of mortality, and survivors may live with neurological sequelae. Of all the types of penetrating carotid artery traumas, the total transection of the common carotid artery (CCA) may be the most serious, can lead to death quickly, and has few reports of survivors. We des...
The development of post-traumatic fistula between the carotid artery and jugular vein is an extremely rare clinical condition. The authors present a 28-year-old patient, who sustained a gunshot injury to the right side of the neck 6 years ago, with undiagnosed contralateral carotico-jugular fistula.
Background
Vascular injuries occur in approximately 25% of all penetrating neck traumas, with carotid artery injuries being particularly lethal. Penetrating neck injuries are potentially fatal. Vascular injuries occur in approximately 25% of cases, which can lead to the formation of arteriovenous fistulas.
Case Description
The authors present a ca...
Traumatic carotid artery injury is an increasingly recognized complication of severe blunt head or neck trauma in patients with motor vehicle accidents. A 22-year-old male presented after a high-velocity road traffic accident and sustained head, neck and systemic injuries. Initially the patient was neurologically stable and initial CT scan brain wa...
Citations
... 5 Cerebral infarct due to head trauma is rarely reported in childhood in the literature and upon to our knowledge, there are only few case reports demonstrating cerebral infarct after birth trauma in the neonatal period. [6][7][8] The onset of convulsions in the first day of life is usually the first clinical sign leading to diagnostic investigations. 9 Here, we report a term newborn who presented with convulsions on the first day of life and the diagnostic imaging techniques showed extensive, unilateral hemispheric infarct due to birth trauma. ...
Neonatal cerebral infarct is a very rare entity and such infarcts could regress as a transient event or result in severe neurological injuries such as hemiplegic cerebral palsy. Here, we report a case of cerebral infarct in a term male infant presenting with convulsions within the first day of life. Difficulty at birth might be one of the uncommon reasons of the infarcts. In this case, dystocia is supposed to be one of the associated events. The neurological deterioration was transient and no neurological deficit was noticed at 7 months after birth. The majority of neonates with large infarcts have a poor prognosis. Early imaging in this population may lead to prompt diagnosis, timely neuroprotection, rehabilitation, and improved outcome.
Posttraumatic ischemic stroke after minor head injury is a rare and unexpected event. There are 65 cases of middle cerebral artery (MCA) occlusion described in the literature. Arterial dissection, cerebral vasospasm and thrombosis have been postulated as the possible pathogenetic mechanism. A case is presented of a 40-year-old man having sustained a minor head injury as a driver in a car accident. Twenty-four hours after the accident, he became soporous and was admitted to intensive care unit, where magnetic resonance imaging revealed mild brain edema on the left side with slight shift on the opposite side. He was transferred to our institution. Control computed tomography (CT) scan revealed edema and shift progression. Two days later, repeat CT scan showed further progression and the patient underwent decompression craniotomy; the patient died in two days. This case report points to the need of due attention be paid in any case of minor head injury where complications develop within 24 hours because a relatively mild head injury may be a cause and co-factor in the etiology of fatal stroke.
The diagnosis of cerebral infarction following head and neck injury is difficult because of the lucid interval, which causes high mortality and morbidity. We report six patients with cerebral infarction following head and neck injury, whom we treated from 1993 to 2005. Only one patient suffered from cerebral infarction following direct neck injury. At the time of injury three patients had prodromal symptoms and the others had no symptoms. Three patients were diagnosed with artery-to-artery embolism based on the dissection of the internal carotid artery in the neck, two patients, from the dissection of the vertebral artery in the neck, and one patient was diagnosed with Wallenberg's syndrome. The overall patient outcomes at discharge as measured by using the Glasgow Outcome Scale were as follows: moderately disabled in one, severely disabled in three, vegetative survival in one, and death in two patients. No patient had been administered a screening test for neck vessel injury, indicating the difficulty in diagnosis. Prodromal symptoms, due to not only direct but also indirect neck injuries indicate the possibility of neck vessels injury, and hence, we should develop a method that enables the early detection of lesions caused by neck vessel injury.
