Abstract

Araç dışı trafik kazası sonucu acil servise getirilen ve Glasgow koma skoru 7 olduğu için elektif olarak oro-trakeal entübe edilen 19 yaşında bayan hasta. Ventilatör tedavisi sonlandıktan sonra geçmeyen sağ üst ekstremite ataksisi sonucu önce Beyin-Boyun Bilgisayarlı tomografi-anjio ve arkasından çekilen beyin-anjio ile internal karotis arter disseksiyonu tanısı konup tedavisi başlanan ve şifa ile taburcu edilen hastayı sunmayı amaçladık.

Keywords: non-vehicular traffic accident, internal carotid artery dissection, traumatic brain injury, anticoagulation

References

  1. Jariwala SP, Crowley JG, Roychowdhury S. Trauma-induced extracranial internal carotid artery dissection leading to multiple infarcts in a young girl. Pediatr Emerg Care 2006; 22: 737-742. https://doi.org/10.1097/01.pec.0000236835.46818.0c
  2. Maiese A, Frati P, Manetti AC, et al. Traumatic internal carotid artery injuries: do we need a screening strategy? Literature review, case report, and forensic evaluation. Curr Neuropharmacol 2022; 20: 1752-1773. https://doi.org/10.2174/1570159X19666210712125929
  3. Guillon B, Lévy C, Bousser MG. Internal carotid artery dissection: an update. J Neurol Sci 1998; 153: 146-158. https://doi.org/10.1016/s0022-510x(97)00287-6
  4. Dziewas R, Konrad C, Dräger B, et al. Cervical artery dissection-clinical features, risk factors, therapy and outcome in 126 patients. J Neurol 2003; 250: 1179-1184. https://doi.org/10.1007/s00415-003-0174-5
  5. Lisovoski F, Rousseaux P. Cerebral infarction in young people. A study of 148 patients with early cerebral angiography. J Neurol Neurosurg Psychiatry 1991; 54: 576-579. https://doi.org/10.1136/jnnp.54.7.576
  6. Sturzenegger M. Spontaneous internal carotid artery dissection: early diagnosis and management in 44 patients. J Neurol 1995; 242: 231-238. https://doi.org/10.1007/BF00919596
  7. Bladin PF, Merory J. Mechanisms in cerebral lesions in trauma to high cervical portion of the vertebral artery-rotation injury. Proc Aust Assoc Neurol 1975; 12: 35-41.
  8. Stringer WL, Kelly DL. Traumatic dissection of the extracranial internal carotid artery. Neurosurgery 1980; 6: 123-130. https://doi.org/10.1227/00006123-198002000-00002
  9. Hufnagel A, Hammers A, Schönle PW, Böhm KD, Leonhardt G. Stroke following chiropractic manipulation of the cervical spine. J Neurol 1999; 246: 683-688. https://doi.org/10.1007/s004150050432
  10. Stevinson C, Honan W, Cooke B, Ernst E. Neurological complications of cervical spine manipulation. J R Soc Med 2001; 94: 107-110. https://doi.org/10.1177/014107680109400302
  11. Klufas RA, Hsu L, Barnes PD, Patel MR, Schwartz RB. Dissection of the carotid and vertebral arteries: imaging with MR angiography. AJR Am J Roentgenol 1995; 164: 673-677. https://doi.org/10.2214/ajr.164.3.7863892
  12. Brandt T, Orberk E, Weber R, et al. Pathogenesis of cervical artery dissections: association with connective tissue abnormalities. Neurology 2001; 57: 24-30. https://doi.org/10.1212/wnl.57.1.24
  13. North KN, Whiteman DA, Pepin MG, Byers PH. Cerebrovascular complications in Ehlers-Danlos syndrome type IV. Ann Neurol 1995; 38: 960-964. https://doi.org/10.1002/ana.410380620
  14. Schievink WI, Björnsson J, Piepgras DG. Coexistence of fibromuscular dysplasia and cystic medial necrosis in a patient with Marfan’s syndrome and bilateral carotid artery dissections. Stroke 1994; 25: 2492-2496. https://doi.org/10.1161/01.str.25.12.2492
  15. Barbour PJ, Castaldo JE, Rae-Grant AD, et al. Internal carotid artery redundancy is significantly associated with dissection. Stroke 1994; 25: 1201-1206. https://doi.org/10.1161/01.str.25.6.1201
  16. Baumgartner RW, Arnold M, Baumgartner I, et al. Carotid dissection with and without ischemic events: local symptoms and cerebral artery findings. Neurology 2001; 57: 827-832. https://doi.org/10.1212/wnl.57.5.827
  17. Biousse V, D’Anglejan-Chatillon J, Touboul PJ, Amarenco P, Bousser MG. Time course of symptoms in extracranial carotid artery dissections. A series of 80 patients. Stroke 1995; 26: 235-239. https://doi.org/10.1161/01.str.26.2.235
  18. Brandt T, Grond-Ginsbach C. Spontaneous cervical artery dissection: from risk factors toward pathogenesis. Stroke 2002; 33: 657-658.
  19. Mokri B, Silbert PL, Schievink WI, Piepgras DG. Cranial nerve palsy in spontaneous dissection of the extracranial internal carotid artery. Neurology 1996; 46: 356-359. https://doi.org/10.1212/wnl.46.2.356
  20. Leys D, Lucas C, Gobert M, Deklunder G, Pruvo JP. Cervical artery dissections. Eur Neurol 1997; 37: 3-12. https://doi.org/10.1159/000117396
  21. Bryan RN, Levy LM, Whitlow WD, Killian JM, Preziosi TJ, Rosario JA. Diagnosis of acute cerebral infarction: comparison of CT and MR imaging. AJNR Am J Neuroradiol 1991; 12: 611-620.
  22. Oelerich M, Stögbauer F, Kurlemann G, Schul C, Schuierer G. Craniocervical artery dissection: MR imaging and MR angiographic findings. Eur Radiol 1999; 9: 1385-1391. https://doi.org/10.1007/s003300050853
  23. Lévy C, Laissy JP, Raveau V, et al. Carotid and vertebral artery dissections: three-dimensional time-of-flight MR angiography and MR imaging versus conventional angiography. Radiology 1994; 190: 97-103. https://doi.org/10.1148/radiology.190.1.8259436
  24. Kaufmann JE, Harshfield EL, Gensicke H, et al. Antithrombotic treatment for cervical artery dissection: a systematic review and individual patient data meta-analysis. JAMA Neurol 2024; 81: 630-637. https://doi.org/10.1001/jamaneurol.2024.1141
  25. Yeo LLL, Kong WY, Paliwal P, et al. Intravenous thrombolysis for acute ischemic stroke due to cervical internal carotid artery occlusion. J Stroke Cerebrovasc Dis 2016; 25: 2423-2429. https://doi.org/10.1016/j.jstrokecerebrovasdis.2016.06.014
  26. Li Z, Liu J, Wang X, et al. Bilateral vertebral artery dissection complicated by posterior circulation stroke in a young man: a case report. Medicine (Baltimore) 2020; 99: e22822. https://doi.org/10.1097/MD.0000000000022822
  27. International Stroke Trial Collaborative Group. The International Stroke Trial (IST): a randomized trial of aspirin, subcutaneous heparin, both, or neither among 19435 patients with acute ischemic stroke. Lancet 1997; 349: 1569-1581. https://doi.org/10.1016/S0140-6736(97)04011-7
  28. Restrepo L, Fisch G. Heparin and aspirin in stroke. Lancet 2001; 357: 233-234. https://doi.org/10.1016/S0140-6736(05)71336-2
  29. Schievink WI, Mokri B, Piepgras DG. Spontaneous dissections of cervicocephalic arteries in childhood and adolescence. Neurology 1994; 44: 1607-1612. https://doi.org/10.1212/wnl.44.9.1607
  30. Mokri B. Traumatic and spontaneous extracranial internal carotid artery dissections. J Neurol 1990; 237: 356-361. https://doi.org/10.1007/BF00315659

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Copyright © 2025 The Author(s). This is an open access article distributed under the Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.

How to cite

1.
Yektaş A, Dedeoğlu A. Traumatic internal carotid artery dissection. Sinir Sistemi Cerrahisi Derg 2025;10(3):127-134. https://doi.org/10.54306/SSCD.2025.228