Document Detail


Bilateral internal carotid and vertebral artery dissection after a horse-riding injury.
MedLine Citation:
PMID:  20888534     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Blunt cerebrovascular injuries, defined as blunt injuries to the internal carotid or vertebral arteries, are uncommon and usually occur in victims of high-speed deceleration motor vehicle crashes. A blunt cerebrovascular injury after an equestrian accident is an extremely unusual presentation. In recent years, advances in screening and treatment with pharmacologic anticoagulation before the onset of neurologic symptoms have improved outcomes for these patients. Endovascular stenting and embolization, although unproven, offer a new potential approach for these complex injuries. We present a unique case of four-vessel blunt cerebrovascular injuries after a horse-riding injury that required multidisciplinary management.
Authors:
Zeid M Keilani; John D Berne; Mouchammed Agko
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery : official publication, the Society for Vascular Surgery [and] International Society for Cardiovascular Surgery, North American Chapter     Volume:  52     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-04     Completed Date:  2010-10-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1052-7     Citation Subset:  IM    
Copyright Information:
Copyright © 2010. Published by Mosby, Inc.
Affiliation:
Department of Surgery, Ochsner Clinic Foundation, New Orleans, LA 70121, USA. zkeilani@ochsner.org
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MeSH Terms
Descriptor/Qualifier:
Animals
Anticoagulants / therapeutic use
Athletic Injuries / complications*,  radiography,  therapy
Brain Ischemia / etiology
Carotid Artery, Internal, Dissection / etiology*,  radiography,  therapy
Combined Modality Therapy
Embolization, Therapeutic
Female
Horses*
Humans
Magnetic Resonance Angiography
Middle Aged
Platelet Aggregation Inhibitors / therapeutic use
Stents
Stroke / etiology
Thoracic Injuries / complications*,  radiography,  therapy
Tomography, X-Ray Computed
Treatment Outcome
Vertebral Artery Dissection / etiology*,  radiography,  therapy
Wounds, Nonpenetrating / complications*,  radiography,  therapy
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Platelet Aggregation Inhibitors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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