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Permanent Cerebral Vessel Occlusion via Double Ligature and Transection
Published on: July 21, 2013
Juvenile stroke: cervical artery dissection in a patient after a polytrauma
Nicole Marschner-Preuth1, Tobias Warnecke, Thomas-Ulrich Niederstadt
1Department of Neurology, University Hospital of Münster, Münster, Bielefeld, Germany ; Department of Department of Neurology, Bethel Evangelisches Krankenhaus of Bielefeld, Bielefeld, Germany.
Abstract:
Dissections of the cervical arteries cause about 20% of total juvenile strokes. Approximately 4% of the carotid artery dissections are due to a (poly)trauma such as car accidents. Despite improved diagnostic facilities, traumatic dissections are often underdiagnosed or diagnosed too late due to a lack of awareness of potential initial signs and symptoms. We report here a case of a delayed embolic stroke after a car accident caused by a dissection of the carotid artery and subsequent pseudoaneurysm. To reduce the long-term morbidity or mortality of multiple trauma patients, an early detection of cervical carotid and vertebral dissections is strictly necessary.
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