TY  - CHAP
M1  - Book, Section
TI  - CAROTID ARTERY TRAUMATIC INJURIES
A1  - Haurani, Mounir J.
A2  - Dean, Steven M.
A2  - Satiani, Bhagwan
A2  - Abraham, William T.
Y1  - 2015
N1  - 
T2  - Color Atlas and Synopsis of Vascular Diseases
AB  - A  restrained  driver  in  a  high-speed  motor  vehicle  accident  was  evaluated  in  the  emergency  department  where  he  was  found  to  have  a  Glasgow  Coma  scale  score  (GCS)  of  6  and  significant  facial  fractures.  His  injuries  were  limited  to  the  head,  and  a  computed  tomography  (CT)  scan  of  the  abdomen  and  pelvis  was  otherwise  negative,  and  the  CT  scan  of  his  head  showed  no  intracranial  injury.  He  was  admitted  and  intubated  in  the  intensive  care  unit  (ICU)  where  he  awoke  over  the  next  12  hours.  On  hospital  day  1,  he  was  found  to  have  a  new-onset  right  hemiparesis  and  aphasia.  He  was  taken  for  a  stat  repeat  head  CT  that  did  not  reveal  any  bleeding  but  did  demonstrate  a  small  left  temporal  infarct.  Angiography  showed  a  left  internal  carotid  artery  (ICA)  dissection  with  near-total  occlusion  in  the  carotid  siphon  (Figure  28-1).  He  was  started  on  antiplatelet  therapy  (aspirin)  and  once  there  was  no  evidence  of  bleeding,  he  was  anticoagulated  on  heparin.  Serial  head  CT  scans  showed  stable  infarct  size,  and  he  slowly  recovered  over  the  next  several  days.  
SN  - 
PB  - McGraw-Hill Medical
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1105290315
ER  -