Document Detail

Traumatic blunt carotid injury: clinical experience and review of the literature.
MedLine Citation:
PMID:  8886669     Owner:  NLM     Status:  MEDLINE    
To evaluate the symptoms, the associated lesions, the treatment and the outcome of patients with blunt carotid injury (BCI), we reviewed the records of all patients admitted to our intensive care unit with head trauma between May 1991 and May 1995. A patient's assessment included the commonly used severity scores and cranial computed tomography (CT). Other diagnostic investigations were performed according to the clinical setting. Four patients (2 males, 2 females, age 29 +/- 13 years) out of 145 were diagnosed to have BCI. At admission, the Glasgow Coma Scale (GCS) was > or = 12 in all patients, and was associated with hemiparesis in three of them; the fourth became paretic 48 hours later. No pathological elements were demonstrated at the initial CT scan, whilst subsequent examinations showed signs of ischaemia after a variable interval from admission. In every patient the radiologic investigations demonstrated a thrombotic obstruction of the internal carotid artery (ICA), associated with an intimal dissection in two cases. Three patients were discharged with only minor neurologic symptoms. The fourth patient was referred to our ICU after the development of a massive hemispheric infarction, and died 3 days after admission.
G Berlot; G Nicolazzi; M Viviani; L Silvestri; A Tomasini; A Gullo; V Cloffi; R Bussani
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  European journal of emergency medicine : official journal of the European Society for Emergency Medicine     Volume:  3     ISSN:  0969-9546     ISO Abbreviation:  Eur J Emerg Med     Publication Date:  1996 Mar 
Date Detail:
Created Date:  1997-01-27     Completed Date:  1997-01-27     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9442482     Medline TA:  Eur J Emerg Med     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  36-42     Citation Subset:  IM    
Department of Anesthesia, University of Trieste, Italy.
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MeSH Terms
Angiography, Digital Subtraction
Carotid Artery Injuries*
Fatal Outcome
Glasgow Coma Scale
Hemiplegia / etiology
Injury Severity Score
Outcome Assessment (Health Care)
Retrospective Studies
Tomography, X-Ray Computed
Wounds, Nonpenetrating / complications,  radiography*,  therapy

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