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Updated: Aug 19, 2026

Bilateral Common Carotid Artery Occlusion as an Adequate Preconditioning Stimulus to Induce Early Ischemic Tolerance to Focal Cerebral Ischemia
Published on: May 9, 2013
Traumatic pseudoaneurysm of the internal carotid artery presenting with oculosympathetic palsy
R R Singh1, A A Thomas, M C Barry
1Department of Vascular Surgery, Beaumont Hospital, Dublin, Ireland.
Background:
Blunt internal carotid artery (ICA) injury is rare but undiagnosed can have disastrous clinical consequences.
Aim:
To report a late presentation of blunt ICA injury in a young male following a road traffic accident.
Result:
A 16-year-old male presented 11 days following a head injury with a unilateral Horner's syndrome. Imaging confirmed a pseudoaneurysm of the ICA. The patient was treated with anticoagulant therapy.
Conclusion:
Diagnosis of ICA injury requires a high index of suspicion and presentation with unusual neurological signs following blunt trauma to the head and neck requires prompt investigation.
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