Carotid artery dissection and motor vehicle trauma: patient demographics, associated injuries and impact of treatment on cost and length of stay

Purpose: To report a case of post-traumatic internal carotid artery dissection and pseudoaneurysm formation at the C-1 level successfully treated by a percutaneous endovascular technique. Methods and Results: A 20-year-old female presented 72 hours after a motor vehicle accident with incomplete occulosympathetic paresis (Horner's syndrome), carotidynia, and left-sided weakness. Arteriography confirmed the diagnosis of carotid dissection and an associated 1.5-cm × 2.5-cm pseudoaneurysm at the C-1 level. Neuroradiologists embolized the pseudoaneurysm with Guglielmi detachable coils and controlled the dissection with placement of a Wallstent. Conclusions: This report illustrates successful percutaneous endovascular treatment of a carotid dissection and pseudoaneurysm near the base of the skull.

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Traumatic carotid—cavernous fistula treated by combined transarterial and transvenous coil embolization and associated cavernous internal carotid artery dissection treated with stent placement

Journal of Neurosurgery ◽

10.3171/jns.2003.99.3.0584 ◽

2003 ◽

Vol 99 (3) ◽

pp. 584-586 ◽

Cited By ~ 13

Author(s):

Süleyman Men ◽

Halil Öztürk ◽

Baki HekimoğLu ◽

Zeki Şekerci

Keyword(s):

Carotid Artery ◽

Stent Placement ◽

Coil Embolization ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Carotid Artery Dissection ◽

Artery Dissection ◽

Carotid Cavernous Fistula ◽

Content Type ◽

Cavernous Fistula

✓ The authors report on a case in which a carotid—cavernous fistula and an associated cavernous—carotid dissection developed in a 48-year-old man following a motor vehicle accident. The fistula was treated with coil embolization via a combined transarterial—transvenous approach. The dissected carotid artery segment was treated with a balloon-expandable stent, which restored normal caliber and hemispheric flow. There was no recurrence of the fistula and the postoperative wide patency of the carotid artery indicates that stent placement is an effective method of treating traumatic intracranial artery dissections.

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Delayed bilateral internal carotid artery dissection following motor vehicle accident: time to make its screening a part of trauma protocol?

QJM ◽

10.1093/qjmed/hcaa037 ◽

2020 ◽

Vol 113 (9) ◽

pp. 672-673

Author(s):

A Agarwal ◽

D Yadav ◽

A Gupta ◽

V Y Vishnu ◽

R Rajan ◽

...

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Carotid Artery Dissection ◽

Artery Dissection ◽

Internal Carotid Artery Dissection ◽

Vehicle Accident

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Unusual Posttraumatic Vascular and Cerebral Injuries in Young Patients

Romanian Neurosurgery ◽

10.2478/romneu-2018-0029 ◽

2018 ◽

Vol 32 (2) ◽

pp. 224-229

Author(s):

Emilia Marciuc ◽

M. Barcan ◽

B. Dobrovăţ ◽

Roxana Popescu ◽

Cornelia Tudorache ◽

...

Keyword(s):

Carotid Artery ◽

Motor Vehicle ◽

Young Patients ◽

Carotid Artery Dissection ◽

Neurological Deficits ◽

Cervical Region ◽

Artery Dissection ◽

Left Internal Carotid Artery ◽

Vehicle Collision ◽

Additional Imaging

Abstract 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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