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Case Report

Open Access

Internal carotid artery dissection at the supraclinoid portion after severe traumatic head injury in a child

  • JUNYA TSURUKIRI1
  • OSAMU NOMURA1
  • TAIHEI OKITA1
  • SHINJIRO FUKAMI2
  • YUKIO IKEDA1

1,Department of Emergency and Critical Care Medicine Tokyo Medical University Hachioji Medical Center

2Department of Neurosurgery, Tokyo Medical University Hachioji Medical Center

DOI: 10.22514/SV82.102013.13 Vol.8,Issue 2,October 2013 pp.67-69

Published: 17 October 2013

*Corresponding Author(s): JUNYA TSURUKIRI E-mail: junya99@tokyo-med.ac.jp

Abstract

A 14-year-old boy with severe traumatic brain injury (TBI) and cranial fractures was admitted to our emergency department after a motor vehicle accident. An emergency craniotomy was performed, and traumatic carotid artery (CA) dissection (tCAD) was revealed by cerebral angiography. The patient then underwent close observation in the intensive care unit. Tra-umatic CADs are difficult to diagnose in the early period after injury, and are associated with serious problems and a high mortality rate. There is still a lack of knowledge surrounding its natural history and treatment options, especially in children. Moreover, it commonly occurs at the cervical internal CA, and tCAD at the supraclinoid portion is quite rare. To the best of our knowledge, this is the first report accompanied by radiological images of the clinical course of tCAD at the supraclinoid portion following severe TBI in a child.

Keywords

traumatic brain injury, craniotomy, neurosurgery, compu-ted tomography, angiography

Cite and Share

JUNYA TSURUKIRI,OSAMU NOMURA,TAIHEI OKITA,SHINJIRO FUKAMI,YUKIO IKEDA. Internal carotid artery dissection at the supraclinoid portion after severe traumatic head injury in a child. Signa Vitae. 2013. 8(2);67-69.

References

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2. Larson PS, Reisner A, Morassutti DJ, Abdulhadi B, Harpring JE. Traumatic intracranial aneurysms. Neurosurg Focus 2000;8:e4.

3. Seth R, Obuchowski AM, Zoarski GH. Endovascular repair of traumatic cervical internal carotid artery injuries: a safe and effective treatment option. AJNR Am J Neuroradiol 2012. Epub ahead of print.

4. Lleva P, Ahluwalia BS, Marks S, Sahni R, Tenner M, Risucci DA, et al. Traumatic and spontaneous carotid and vertebral artery dissection in a level 1 trauma center. J Clin Neurosci 2012;19:1112-4. doi: 10.1016/j.jocn.2011.11.018.

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