Blunt cerebrovascular injury of cervical and petrous ICA with stroke: A case study
This case report documents treatment of a 32-year-old male patient after being extricated from an extensively damaged motor vehicle after a collision. On first presentation, the patient had a Glascow Coma Score of 14 and a pan-scan revealed a severely comminuted fracture of the proximal left femoral...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-06-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644022000334 |
| _version_ | 1818204535312613376 |
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| author | Leva Gorji Ragavan Narayanan Christa Siebenburgen |
| author_facet | Leva Gorji Ragavan Narayanan Christa Siebenburgen |
| author_sort | Leva Gorji |
| collection | DOAJ |
| description | This case report documents treatment of a 32-year-old male patient after being extricated from an extensively damaged motor vehicle after a collision. On first presentation, the patient had a Glascow Coma Score of 14 and a pan-scan revealed a severely comminuted fracture of the proximal left femoral shaft, a fracture of the left patella, and multiple rib fractures. A neurological exam on a later evaluation showed global aphasia and sharp decline in movements of the right upper and lower extremities even with painful stimuli. A CT Angiography of the head and neck was obtained and revealed evidence of occlusion in the upper cervical segment and proximal petrous segment of the left internal carotid artery (ICA). Two 6x40mm precise stents were placed restoring normal intracranial flow to the patient's left ICA. The patient was discharged having sensation and motor function in all extremities and with resolved aphasia and no neurologic deficits. |
| first_indexed | 2024-12-12T03:42:47Z |
| format | Article |
| id | doaj.art-4958000bbeb4451b9509e107b40a516a |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-12-12T03:42:47Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-4958000bbeb4451b9509e107b40a516a2022-12-22T00:39:38ZengElsevierTrauma Case Reports2352-64402022-06-0139100637Blunt cerebrovascular injury of cervical and petrous ICA with stroke: A case studyLeva Gorji0Ragavan Narayanan1Christa Siebenburgen2Grandview General Surgery Residency Program, Kettering Health Network, Dayton, OH, USAAcute Care, Trauma, and General Surgery, Kettering Health Network-Main Campus, 3535 Southern Blvd, Dayton, OH 45429, USAAcute Care, Trauma, and General Surgery, Kettering Health Network-Main Campus, 3535 Southern Blvd, Dayton, OH 45429, USA; Corresponding author.This case report documents treatment of a 32-year-old male patient after being extricated from an extensively damaged motor vehicle after a collision. On first presentation, the patient had a Glascow Coma Score of 14 and a pan-scan revealed a severely comminuted fracture of the proximal left femoral shaft, a fracture of the left patella, and multiple rib fractures. A neurological exam on a later evaluation showed global aphasia and sharp decline in movements of the right upper and lower extremities even with painful stimuli. A CT Angiography of the head and neck was obtained and revealed evidence of occlusion in the upper cervical segment and proximal petrous segment of the left internal carotid artery (ICA). Two 6x40mm precise stents were placed restoring normal intracranial flow to the patient's left ICA. The patient was discharged having sensation and motor function in all extremities and with resolved aphasia and no neurologic deficits.http://www.sciencedirect.com/science/article/pii/S2352644022000334Blunt cerebrovascular injuryNeurologic deficits |
| spellingShingle | Leva Gorji Ragavan Narayanan Christa Siebenburgen Blunt cerebrovascular injury of cervical and petrous ICA with stroke: A case study Trauma Case Reports Blunt cerebrovascular injury Neurologic deficits |
| title | Blunt cerebrovascular injury of cervical and petrous ICA with stroke: A case study |
| title_full | Blunt cerebrovascular injury of cervical and petrous ICA with stroke: A case study |
| title_fullStr | Blunt cerebrovascular injury of cervical and petrous ICA with stroke: A case study |
| title_full_unstemmed | Blunt cerebrovascular injury of cervical and petrous ICA with stroke: A case study |
| title_short | Blunt cerebrovascular injury of cervical and petrous ICA with stroke: A case study |
| title_sort | blunt cerebrovascular injury of cervical and petrous ica with stroke a case study |
| topic | Blunt cerebrovascular injury Neurologic deficits |
| url | http://www.sciencedirect.com/science/article/pii/S2352644022000334 |
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