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Delayed Blunt Traumatic Carotid Artery Dissection After a Scooter Accident: A Case Report
Robert Rigby1, Suneil Agrawal1
1Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California.
Introduction:
Traumatic carotid artery dissections (CAD) are rare but produce potentially devastating injuries. Most patients develop symptoms within 72 hours of traumatic injury.
Case Report:
We report the case of a 33-year-old, previously healthy male who presented to the emergency department for evaluation of transient, right-sided facial droop with visual changes. His symptoms began 12 days after falling off a scooter. Imaging revealed an extracranial internal CAD.
Conclusion:
Symptoms of CAD may present weeks after blunt trauma, making clinical diagnosis difficult. Clinicians must have high suspicion for vascular injury and consider neuroimaging in cervical flexion/extension injuries.
