Juvenile Stroke: Cervical Artery Dissection in a Patient after a Polytrauma

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 la...

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Bibliographic Details
Published in:Case reports in neurology 2013-01, Vol.5 (1), p.21-25
Main Authors: Marschner-Preuth, Nicole, Warnecke, Tobias, Niederstadt, Thomas-Ulrich, Dittrich, Ralf, Schäbitz, Wolf-Rüdiger
Format: Article
Language:English
Subjects:
Dissection
Juvenile stroke
Polytrauma
Pseudoaneurysm
Published: January 2013
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Summary: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.
ISSN:1662-680X
1662-680X
DOI:10.1159/000347001