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Updated: Jun 8, 2026

Permanent Cerebral Vessel Occlusion via Double Ligature and Transection
Published on: July 21, 2013
Bilateral internal carotid and vertebral artery dissection after a horse-riding injury
Zeid M Keilani1, John D Berne, Mouchammed Agko
1Department of Surgery, Ochsner Clinic Foundation, New Orleans, LA 70121, USA. zkeilani@ochsner.org
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.
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