Citation

Nakagawa N, Akai F, Fukawa N, Yugami H, Kimoto A, Majima S, Taneda M. Minim. Invasive Neurosurg. 2007; 50(2): 115-119.

Affiliation

Department of Neurosurgery, Kinki University School of Medicine, Osakasayama, Japan. nakkan@neuro-s.med.kindai.ac.jp

Copyright

(Copyright © 2007, Georg Thieme Verlag)

DOI

10.1055/s-2007-984381

PMID

17674300

Abstract

OBJECT: The incidence of carotid artery dissection related to blunt injury is very low, but the mortality rate is high. Rapid diagnosis and proper treatments are discussed. CLINICAL PRESENTATION: A 48-year-old woman presented diplopia and pulsating tinnitus of the left ear. An angiography showed a carotid cavernous fistula (CCF) and dissection of the extra-cranial internal carotid artery (ICA). To treat the dissection, a self-expanding endovascular stent was used. She has been followed for 6 years without any event and the ICA is patent. CONCLUSION: Prompt diagnosis without delay and intimate follow-up is the key for the treatment of a carotid injury. Those patients who exhibit cervical bruits and/or seat-belt signs should be examined aggressively. Angioplasty with stents is amenable for patients with traumatic carotid dissections requiring vascular reconstruction in the acute stage.

Language: en