Document Detail

Hyperextension and rotation of head causing internal carotid artery laceration with basilar subarachnoid hematoma.
MedLine Citation:
PMID:  14640286     Owner:  NLM     Status:  MEDLINE    
Hyperextension of the head can cause injury to the vessels at the base of the brain. These lacerations are believed to be caused by stretching of the vessels due to the abrupt movement of the head and rotational acceleration of the brain within the cranium, and they usually occur in the intracranial portions of the vessels, producing a subarachnoid hemorrhage. This is the case of a 35-year-old man who received a blow to the face that forcefully hyperextended and rotated his head to the left. Autopsy revealed an intracranial right internal carotid laceration extending from a calcified atherosclerotic plaque. This unusual injury may be due to a combination of blunt force applied to the head and the alteration of the vessel's structural and functional capacities secondary to atherosclerosis.
David Kindelberger; Kristin Gilmore; Charles A Catanese; Vernon W Armbrustmacher
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of forensic sciences     Volume:  48     ISSN:  0022-1198     ISO Abbreviation:  J. Forensic Sci.     Publication Date:  2003 Nov 
Date Detail:
Created Date:  2003-11-26     Completed Date:  2004-02-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0375370     Medline TA:  J Forensic Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1366-8     Citation Subset:  IM    
SUNY Health Science Center at Brooklyn, College of Medicine, USA.
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MeSH Terms
Carotid Artery Injuries / etiology*,  pathology
Carotid Artery, Internal / pathology*
Craniocerebral Trauma / complications*,  etiology
Hematoma / etiology*,  pathology
Maxillofacial Injuries / complications,  etiology
Rotation / adverse effects
Subarachnoid Hemorrhage, Traumatic / etiology*,  pathology
Vertebral Artery Dissection / etiology,  pathology
Wounds, Nonpenetrating / complications

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

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