Document Detail


Carotid artery thrombosis and delayed stroke associated with the use of a shoulder belt in a teenager.
MedLine Citation:
PMID:  19635289     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Blunt carotid artery injury caused by shoulder belts is rare and requires a high index of suspicion to diagnose before the onset of neurologic sequelae. Neurologic abnormalities may be erroneously attributed to concomitant head trauma, and the onset of neurologic abnormalities may be delayed for hours or days. The case of a young, teenaged driver with a "seatbelt sign" and presentation of signs and symptoms of carotid artery thrombosis 13 days after injury is described. Occult vascular injury should be suspected if neurologic deterioration occurs after a lucid interval and/or computed tomography of the head is inconsistent with neurologic findings. Screening criteria and possible screening modalities are discussed.
Authors:
Melissa M Levack; Barbara J Pettitt; A Daniel Winston
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  44     ISSN:  1531-5037     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-28     Completed Date:  2009-11-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E29-33     Citation Subset:  IM    
Affiliation:
Division of Pediatric Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, GA 30303, USA.
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic
Adolescent
Anticoagulants / therapeutic use
Automobile Driving
Carotid Artery Thrombosis / diagnosis,  drug therapy,  etiology*
Humans
Magnetic Resonance Angiography
Male
Seat Belts / adverse effects*
Stroke / diagnosis,  drug therapy,  etiology*
Chemical
Reg. No./Substance:
0/Anticoagulants

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


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