Citation

Keilani ZM, Berne JD, Agko M. J. Vasc. Surg. 2010; 52(4): 1052-1057.

Affiliation

Department of Surgery, Ochsner Clinic Foundation, New Orleans, LA 70121, USA. zkeilani@ochsner.org

Copyright

(Copyright © 2010, Elsevier Publishing)

DOI

10.1016/j.jvs.2010.05.065

PMID

20888534

Abstract

Blunt cerebrovascular injuries, defined as blunt injuries to the internal carotid or vertebral arteries, are uncommon and usually occur in victims of high-speed deceleration motor vehicle crashes. A blunt cerebrovascular injury after an equestrian accident is an extremely unusual presentation. In recent years, advances in screening and treatment with pharmacologic anticoagulation before the onset of neurologic symptoms have improved outcomes for these patients. Endovascular stenting and embolization, although unproven, offer a new potential approach for these complex injuries. We present a unique case of four-vessel blunt cerebrovascular injuries after a horse-riding injury that required multidisciplinary management.

Language: en