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Internal Carotid Artery Dissection with Lidocaine Nerve Block Injection Trauma: A Rare Case Report
Naureen Narula1, Faraz Siddiqui2, Nakul Katyal3
1Internal Medicine, Staten Island University Hospital.
Abstract:
Internal carotid artery dissection (ICAD) accounts for 25% of cerebrovascular accidents in young and middle-aged patients. Dissection occurs when the intimal wall of an artery is damaged as a result of trauma or defect. ICAD development after dental work is a relatively uncommon phenomenon. Our study highlights a rare presentation of ICAD that resulted from a direct lidocaine nerve block injection in a patient undergoing pulpotomy for a right maxillary second premolar tooth. We have described the case and reviewed the literature on this rare but potentially life-threatening phenomenon.
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