P0389 6-DAY HISTORY OF INTERMITTENT NEUROLOGICAL SYMPTOMS FOLLOWING ROAD TRAFFIC ACCIDENT: DIAGNOSIS OF VERTEBRAL ARTERY DISSECTION CAN BE MISSED

2009 ◽  
Vol 20 ◽  
pp. S132-S133
Author(s):  
Harith Altemimi ◽  
James Brown ◽  
Tsetsegdemberel Bat-Ulzii
Keyword(s):  
Vertebral Artery ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Vertebral Artery Dissection ◽  
Neurological Symptoms ◽  
Artery Dissection ◽  
History Of

scholarly journals Epidemiologic Characteristics of Patients Presenting with Head Injury due to Road Traffic Accident and Factors Associated with Outcome: Experience of a Tertiary Care Center in Northern Kerala

2019 ◽  
Vol 08 (01) ◽  
pp. 039-046
Author(s):  
Mandaka Rajeev ◽  
Vattaparambil Shinihas ◽  
Pankaj Chauhan
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Alcohol Intake ◽  
Road Traffic ◽  
Care Center ◽  
Tertiary Care ◽  
Health Resources ◽  
Medical College ◽  
History Of ◽  
Limited Health

Abstract Background In India, most factors related to road traffic accident (RTA) causation and outcome go improperly documented, and database regarding RTA-related traumatic brain injury (TBI) seems inadequate. Two-wheeler drivers form the largest segment of people affected by RTA. The socioeconomic and neurologic burden, imposed by TBI due to RTAs (largely preventable), is overwhelmingly significant, especially for a developing country like India. Materials and Methods Descriptive study involving patients, presenting to the casualty of Government Medical College, Kozhikode, Kerala, was performed, and various demographic features were analyzed. Usage of helmet and history of alcohol intake were also noted. Patients were evaluated according to their presenting Glasgow coma scale (GCS), investigated and either operated or managed conservatively, and their outcome was assessed with Glasgow outcome score (GOS) at 3 months. Results Bike drivers formed the single largest proportion of RTA victims (53.7%). Proportion of helmet users was 17.9%, whereas 21.9% were found with history of alcohol intake. There was a consistent trend toward a favorable outcome in patients with no alcohol intake (17.08% deaths compared with 34.07% patients with alcohol intake) and with helmet usage (14.55% compared with 22.18% in patients without helmet). However, the absolute contribution of these factors cannot be inferred. Conclusion Various factors related to RTA need evaluation for pooling and compilation of data at regional and national levels. Mandatory helmet laws and strict implementation and provision of subsidized helmets (standard, full coverage) will go a long way in reducing the burden on limited health resources.

scholarly journals An Assessment of Visual Acuity of Commercial Vehicle Drivers in Makurdi, Benue State, North-Central Nigeria

2020 ◽  
pp. 61-67
Author(s):  
C. O. Ojabo ◽  
O. S. Adeniyi ◽  
B. A. Ojo
Keyword(s):  
Visual Acuity ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Commercial Vehicle ◽  
Road Traffic ◽  
Demographic Data ◽  
North Central ◽  
Face To Face ◽  
History Of ◽  
Eye Examination

Aim: This study was designed to investigate the visual acuity and the relationship between visual acuity and rate of road traffic accident (RTAs) among commercial (private and government transport companies) vehicle drivers in Makurdi, North Central Nigeria. Methods: A structured questionnaire was administered to each driver by face-to-face interview in four major motor parks in Makurdi metropolis. The documented information included driver’s demographic data, duration of driving, history of previous ophthalmic examination, past ophthalmic disease and history of involvement in road traffic accident. Participants were taken through a comprehensive eye examination. Results: One hundred and twenty-two (122) male commercial vehicle drivers were enrolled for this study with a mean age of 33.8 + 0.81 years. 98.4% (n=120) of the drivers had normal visual acuity in both eyes. Analysis showed that there was no correlation between visual acuity of the drivers and the number of road traffic accident. Conclusion: The prevalence of visual impairment in this study was low. The result also showed that there is no relationship between visual acuity and road traffic accident. Majority of the drivers in this study never had any eye test done before obtaining their driving license.

scholarly journals Posttraumatic Carotid Cavernous Fistula–A Rare Case

2020 ◽  
Author(s):  
Amit Dahiya ◽  
Sumit Dahiya ◽  
Suresh Kumar S. ◽  
Shrikant V Rege ◽  
Gaurav Jatav ◽  
...  
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Rare Case ◽  
Road Traffic ◽  
Young Male ◽  
Carotid Cavernous Fistula ◽  
Av Fistula ◽  
Cavernous Fistula ◽  
History Of ◽  
Gcs Score

AbstractCarotid cavernous fistula (CCF) is a specific type of dural arteriovenous (AV) fistula characterized by abnormal AV shunting within the cavernous sinus. The authors present a case of a 17-year-old young male who encountered a road traffic accident while driving a car, with a history of flipping of cars multiple times. The patient was unconscious with symmetrical bilateral (B/L) pupils and with Glasgow coma scale (GCS) score of 3. There was no history of seizures or vomiting.

scholarly journals An unusual case of penetrating head injury following road traffic accident

2015 ◽  
Vol 6 (5) ◽  
pp. 75-77
Author(s):  
Mithilesh Kumar Pandey ◽  
Kaushik Roy ◽  
Gaurab Chaudhuri ◽  
Suniti Kumar Saha
Keyword(s):  
Foreign Body ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Past History ◽  
Infratemporal Fossa ◽  
Penetrating Trauma ◽  
Neck Region ◽  
History Of ◽  
Radiolucent Foreign Body

A 35 year old male was presented with discharging sinus at left frontozygomatic region with trismus for last 1 month. The patient had a past history of penetrating trauma in the vicinity of the left frontozygomatic area following road traffic accident 6 months back. 3D-CT skull was showed a linear dense radiolucent foreign body obliquely placed in the left temporal and infratemporal fossa. Trismus due to trauma usually follows road accidents leading to massive faciomaxillary injury.  But in this case an initial minor penetrating injury was presented trismus in delayed fashion.  The aero digestive tract is the commonest site involved in foreign body lodgement in head and neck region. However the lodgement of foreign-body in an area of infratemporal fossa with unusual symptoms of trismus is quite rare and only few cases have been reported in the literature so far following a road traffic accident.DOI: http://dx.doi.org/10.3126/ajms.v6i5.12329 Asian Journal of Medical Sciences Vol.6(5) 2015 75-77 

Haemobilia of a 17 Years Girl Following Road Traffic Accident

2020 ◽  
Vol 23 (1) ◽  
pp. 40-42
Author(s):  
Md Rajibul Hoque ◽  
Mostakim Maria Alievna ◽  
Ayesha Rahman ◽  
Md Tuhin Talukder ◽  
Tapan Kumar Saha
Keyword(s):  
Gastrointestinal Bleeding ◽  
Blunt Trauma ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Therapeutic Embolization ◽  
Ampulla Of Vater ◽  
Prior History ◽  
History Of ◽  
Upper Gastrointestinal

Haemobilia is a rare cause of gastrointestinal bleeding, which develops as a result of communication between blood vessel and biliary tract. It should be considered in patients presenting with upper gastrointestinal bleeding with prior history of blunt trauma abdomen. We present a case of 17 years girl who sustained blunt trauma abdomen due to road traffic accident. She developed hematemesis & melena with bleeding from the wound after laparotomy for liver injury. Endoscopy of upper gastrointestinal tract revealed blood coming from ampulla of vater. CT angiography of abdomen showed pseudoaneurysm in a branch of right hepatic artery. Patient recovered completely after therapeutic embolization. Journal of Surgical Sciences (2019) Vol. 23 (1) : 40-42

Emergency typhlectomy for caecal strangulation caused by chronic diaphragmatic hernia in a dog

2020 ◽  
Vol 8 (2) ◽  
pp. e001047
Author(s):  
Luis Correa ◽  
Francisco Silveira ◽  
Jackie Demetriou
Keyword(s):  
Diaphragmatic Hernia ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Exploratory Laparotomy ◽  
Good Health ◽  
Respiratory Effort ◽  
Thoracic Ultrasound ◽  
History Of ◽  
Small Intestines

A two-year-old female entire Catahoula leopard dog was referred for investigation and management of suspected chronic diaphragmatic hernia, 11 months post road traffic accident. The dog had a two-month history of progressive lethargy and one-week history of vomiting and anorexia. Physical examination revealed a slight increase in respiratory effort with normal respiratory rate. Cardiac and pulmonary sounds were muffled on thoracic auscultation and intestinal loops were not immediately palpable in the abdomen. Thoracic radiographs acquired before referral were suggestive of a diaphragmatic hernia, which was later confirmed on abdominal and thoracic ultrasound. Cardiorespiratory deterioration was evident eight hours post presentation and an emergency exploratory laparotomy was performed. The small intestines, caecum, and the ascending and transverse colon were found to have herniated into the thorax. Marked caecal necrosis was found intraoperatively. A typhlectomy and repair of the diaphragmatic defect were performed. The patient recovered uneventfully and was in good health nine months postoperatively.

scholarly journals Postpartum vertebral artery dissection: case report and review of the literature

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Nicholas T. Manasewitsch ◽  
Ahmed A. Hanfy ◽  
Bryce D. Beutler ◽  
Daniel Antwi-Amoabeng ◽  
Moutaz Taha ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Iron Deficiency ◽  
Vertebral Artery ◽  
Iron Deficiency Anemia ◽  
Vertebral Artery Dissection ◽  
Deficiency Anemia ◽  
Artery Dissection ◽  
Hypertensive Disorder ◽  
Acute Hemorrhage ◽  
History Of

Abstract Background Hypertensive disorders of pregnancy are associated with vascular complications, including ischemic stroke and cervical artery dissection. Vertebral artery dissection (VAD), however, is rare. We describe a 31-year-old female who presented with vertigo, nausea, and vomiting and was found to have a VAD. In addition, we discuss the presentation, differential diagnosis, and pathogenesis of this uncommon but clinically significant vascular event and summarize other cases of vertebral artery dissection described in the medical literature. Case presentation A 31-year-old Hispanic woman presented 10 days postpartum with a one-day history of vertigo, nausea, vomiting, and frontal headache. The patient’s pregnancy course had been complicated by preeclampsia, chorioamnionitis, and iron-deficiency anemia, and her delivery was complicated by acute hemorrhage. Physical examination was significant for left leg ataxia. Laboratory studies showed marked thrombocytosis. Emergent computed tomography (CT) scan of the head was obtained and revealed a left cerebellar ischemic large vessel stroke. Subsequent CT angiography of the head and neck showed a left VAD. Based on correlation of the clinical history and laboratory and imaging findings, a diagnosis of vertebral artery dissection secondary to reactive (secondary) thrombocytosis from overlapping iron-deficiency anemia and acute hemorrhage was established. The patient was started on a heparin infusion and experienced significant improvement after a four-day hospitalization. Conclusion VAD is a rare but important cause of neurologic symptoms in the postpartum period and should be considered in the differential diagnosis for women who present with headache and/or vertigo. Women aged 30 years or older and those with a history of a hypertensive disorder of pregnancy are at particularly high risk. Prompt diagnosis and management of VAD is essential to ensure favorable outcomes.

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