Blunt Carotid Injury

Czech version

Authors: P. Povýšil; R. Slováček; M. Adámek; B. Křupka ¹
Authors‘ workplace: Chirurgické oddělení, Vsetínská nemocnice a. s., přednosta: MUDr. J. Sankot ; Neurologické oddělení, Vsetínská nemocnice a. s., přednosta: MUDr. Bohdan Křupka, Ph. D. ¹
Published in: Rozhl. Chir., 2009, roč. 88, č. 12, s. 704-707.
Category: Monothematic special - Original

Overview

Blunt injury of the carotid artery is uncommon but serious injury with high mortality and morbidity. The symptomatology may be inconspicuous, in other case a neurological deficit is present. The cause is mainly head hyperexstension and rotation, basal scull fracture, compression, blunt stroke. The diagnosis is usually confirmed by CT scan, CT angiography, MRI. In the therapy in present prevail heparin anticoagulation and endovascular stent implantation in some cases.

Key words:
blunt carotid artery trauma

Sources

1. Čertík, B., a kol. Onemocnění karotid a velkých cév aortálního oblouku. Praha, Grada Publishing, 2005.

2. Krajewski, L., Hertzer, N. Blunt Carotid Artery Trauma. Am. Surg., l980, s. 341–346.

3. Ahmad, H., Erraty, R., Davis, S., Cameron, P. Cervicocerebral Artery Dissections. J. Accid Emerg. Med., 1999, s. 422–424.

4. Liu, W., Ng, K., Hung, J. Carotid Artery Injury with Cerebral Infartcion Following Head and Neck Blunt Trauma. Yale Journal of Biology and Medicine, 78, 2005, s. 149–153.

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Article was published in

Perspectives in Surgery

2009 Issue 12