[Traumatic carotid artery stenosis with cerebral infarct]

Area of Science:

• Neurology
• Vascular Surgery

Background:

• Cerebral haemorrhagic contusion is a potential diagnosis following neck trauma.
• Conservative treatment is often initiated for suspected intracranial injuries.

Observation:

• A 17-year-old male presented with neurological symptoms after a laryngeal wound.
• Initial diagnosis was cerebral haemorrhagic contusion, treated conservatively.
• Angiography revealed traumatic carotid artery occlusion six weeks later.

Findings:

• The patient's neurological symptoms were caused by traumatic carotid artery occlusion.
• Effective collateral circulation, aided by the patient's youth, facilitated recovery.
• A symptom-free interval can occur between carotid artery injury and neurological deficits.

Implications:

• Traumatic carotid artery occlusion should be considered in conscious patients with neurological disorders post-trauma.
• Early diagnosis and recognition of this condition are crucial for appropriate management.
• Vascular imaging is essential for accurate diagnosis when clinical suspicion is high.