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Traumatic cervical internal carotid artery occlusion in an infant. Case report

Takahiro Igarashi1, Tatsuro Mori, Nobuhiro Moro

  • 1Department of Neurological Surgery, Nihon University School of Medicine, Tokyo, Japan. tkigsolm@med.nihon-u.ac.jp

Neurologia Medico-Chirurgica
|November 26, 2005
PubMed

Insights

A rare case of traumatic internal carotid artery (ICA) occlusion in an infant resulted from a fall. This emphasizes the risks associated with unsafe infant carriers and bicycle use.

Area of Science:

  • Pediatric Traumatology
  • Vascular Surgery
  • Neurology

Background:

  • Traumatic internal carotid artery (ICA) occlusion is a known complication of blunt head and neck injuries in adults.
  • Such injuries are exceptionally rare in infants, with limited documented cases.

Observation:

  • A 10-month-old infant sustained a blunt injury from falling out of a bicycle-attached carrier.
  • The infant presented with scalp bruising, clavicular fracture, and subsequent development of left hemiparesis.
  • Cerebral infarct and cervical ICA occlusion were confirmed via imaging.

Findings:

  • The infant's condition was diagnosed as traumatic cervical ICA occlusion secondary to rotational head injury.
  • Conservative management involving hemodilution was initiated.
  • The case highlights a rare but severe consequence of pediatric blunt force trauma.

Implications:

  • This case underscores the critical importance of infant safety during bicycle transport.
  • It serves as a reminder of the potential for severe vascular and neurological injury in infants from seemingly minor falls.
  • Healthcare providers should consider traumatic ICA occlusion in the differential diagnosis of neurological deficits in infants following blunt trauma.

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