Cerebral infarction caused by traumatic carotid artery dissection

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dc.contributor.authorBayir, Aysegul
dc.contributor.authorKiresi, Demet Aydogdu
dc.contributor.authorSoylemez, Ali
dc.contributor.authorDemirci, Osman
dc.date.accessioned2020-03-26T18:24:14Z
dc.date.available2020-03-26T18:24:14Z
dc.date.issued2012
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractTraumatic carotid artery dissection, if not diagnosed and treated early, is a serious problem with permanent neurological deficit and a high mortality rate of up to 40%. We present a case with delayed diagnosis of traumatic carotid artery dissection in a 21-year-old female. While there were no ischemic infarct findings on the admission cerebral computerized tomography (CT), such findings were observed on two cerebral CTs taken because of the left hemiplegia noticed seven days later when the patient regained consciousness. The patient was referred to our emergency service, and definitive diagnosis was achieved with arterial Doppler ultrasonography, cerebral magnetic resonance imaging (MRI), diffusion MRI, and MR angiography. We did not consider invasive treatment since the neurological damage was permanent and dissection grade was IV according to angiography findings. The case was discharged within a week and physiotherapy was advised. Despite the advances in diagnostic methods, diagnosis of traumatic carotid artery dissection is still missed or delayed, as in the case presented here. Early diagnosis can ameliorate permanent neurological damage or even prevent it. However, the vital factors for early diagnosis are the obtained anamnesis leading to appropriate radiological examinations, detailed physical examination and high clinical suspicion.en_US
dc.identifier.doi10.5505/tjtes.2012.66900en_US
dc.identifier.endpage350en_US
dc.identifier.issn1306-696Xen_US
dc.identifier.issue4en_US
dc.identifier.pmid23139004en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage347en_US
dc.identifier.urihttps://dx.doi.org/10.5505/tjtes.2012.66900
dc.identifier.urihttps://hdl.handle.net/20.500.12395/27813
dc.identifier.volume18en_US
dc.identifier.wosWOS:000307983700013en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTURKISH ASSOC TRAUMA EMERGENCY SURGERYen_US
dc.relation.ispartofULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectDoppler ultrasonographyen_US
dc.subjectinternal carotid arteryen_US
dc.subjectmagnetic resonance angiographyen_US
dc.subjecttraumatic dissectionen_US
dc.titleCerebral infarction caused by traumatic carotid artery dissectionen_US
dc.typeArticleen_US

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