Document Detail


Carotid and vertebral artery injury following severe head or cervical spine trauma.
MedLine Citation:
PMID:  10393406     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In order to determine the frequency of neck vessel injuries, Doppler investigations were performed in 60 patients following either severe head injury (n = 29), cervical spine injury (n = 26), or combined head and cervical spine injury (n = 5). The majority of patients were referred to our hospital for early rehabilitation; before admission Doppler investigations had been performed in only 2 patients. Clinically, 3 patients sustained severe cerebral ischemia due to neck vessel trauma: 1 patient with left-sided ICA dissection after head trauma revealed Doppler abnormalities only in the early phase of the disease; the second patient demonstrated persistent Doppler abnormalities due to traumatic right-sided ICA and VA occlusion. The third patient sustained a fatal vertebral and basilar artery thrombosis following cervical spine injury. In 57 patients without clinical signs suspicious of neck vessel trauma, sonography revealed abnormalities in 3 patients (11%) with severe head injury and in 6 patients (20%) with cervical spine or combined head and spine injury, in both groups mainly related to the vertebrobasilar system. Neck vessel injury is probably an underdiagnosed complication of severe head or cervical spine trauma. Although interpretation of Doppler findings may be difficult, particularly in the vertebrobasilar system, Doppler investigations can be recommended as a screening method to exclude neck vessel injuries.
Authors:
O Rommel; A Niedeggen; M Tegenthoff; P Kiwitt; U Bötel; J Malin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cerebrovascular diseases (Basel, Switzerland)     Volume:  9     ISSN:  1015-9770     ISO Abbreviation:  Cerebrovasc. Dis.     Publication Date:    1999 Jul-Aug
Date Detail:
Created Date:  1999-09-27     Completed Date:  1999-09-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9100851     Medline TA:  Cerebrovasc Dis     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  202-9     Citation Subset:  IM    
Affiliation:
University Department of Clinical Neurology, BG-Kliniken Bergmannsheil, Ruhr University Bochum, Germany.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Angiography
Arterial Occlusive Diseases / etiology,  radiography,  ultrasonography
Brain Ischemia / etiology
Carotid Arteries / radiography,  ultrasonography
Carotid Artery Injuries*
Cervical Vertebrae / injuries*,  radiography,  ultrasonography
Child
Child, Preschool
Craniocerebral Trauma / complications*
Female
Humans
Male
Middle Aged
Thrombosis / etiology,  radiography,  ultrasonography
Tomography, X-Ray Computed
Ultrasonography, Doppler
Vertebral Artery / injuries*,  radiography,  ultrasonography

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