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    
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.
Melissa M Levack; Barbara J Pettitt; A Daniel Winston
Related Documents :
8359309 - Penetrating missile embolisation.
12323179 - An analysis of 32 surgically managed penetrating carotid artery injuries.
12031109 - In vivo vascular engineering: directed migration of smooth muscle cells to limit neoint...
588999 - Vascular injuries in the extremities in battle casualties.
6744139 - Arterial injuries.
16051879 - Estrogen treatment abrogates neointima formation in human c-reactive protein transgenic...
7347899 - Surgical treatment of aneurysms of the aortic arch.
11349469 - Churg-strauss syndrome involving medium-sized arteries.
16438069 - Hybrid treatment for thoracic and thoracoabdominal aortic aneurysms in patients unfit f...
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    
Division of Pediatric Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, GA 30303, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Accidents, Traffic
Anticoagulants / therapeutic use
Automobile Driving
Carotid Artery Thrombosis / diagnosis,  drug therapy,  etiology*
Magnetic Resonance Angiography
Seat Belts / adverse effects*
Stroke / diagnosis,  drug therapy,  etiology*
Reg. No./Substance:

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

Previous Document:  Multiorgan developmental anomalies presenting as a variation of the serpentine-like syndrome: cervic...
Next Document:  Lambert-Eaton myasthenic syndrome revealing an abdominal neuroblastoma.