Carotid Artery Thrombosis Following Blunt Neck Trauma; a Case Report

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Khodayar Maryam; SOTOODEHNIA MEHRAN; Noyani Amir; Sheidaie Hosein; Yekesadat Seyedmeysam

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Journal: Frontiers in Emergency Medicine Year:2020 | Volume:4 | Issue:4 Page(s): 0-0

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Title

Carotid Artery Thrombosis Following Blunt Neck Trauma; a Case Report

Author(s)

Keywords

Carotid Artery Thrombosis

Multiple Trauma

Neck

Wounds

Nonpenetrating

Abstract

Introduction: This case emphasizes on the importance of detecting thrombosis and carotid artery injuries and the need for rapid treatment of blunt Neck traumas. Case presentation: A 43-year-old male motorcyclist rider, rode into a rope and suffered blunt Neck trauma. At admission to the emergency department (ED), he was fully conscious with Glasgow coma scale of 15. The biochemical tests and X-rays were normal, but initial examination revealed paresthesia in the right-hand fingertips, which exacerbated over the first 24 hours of admission. Doppler ultrasound of the Neck arteries and computed tomography (CT) angiography reports showed thrombosis of the right common carotid artery, which spread to the right subclavian and vertebral arteries. Treatment was initiated with heparin injection followed by daily administration of oral warfarin, and seven days later, symptoms were relatively improved. Conclusion: Considering possible vascular injuries following blunt Neck trauma should be kept in mind when dealing with such patients, and necessary physical examination required to rise the impression. By reviewing the literature, it seems that although CT angiography is usually used in screening carotid injuries, this modality appears to have poor sensitivity in this regard, and digital subtraction angiography (DSA) is still considered the gold standard for detecting carotid artery injury.

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APA: Copy

Khodayar, Maryam, SOTOODEHNIA, MEHRAN, Noyani, Amir, Sheidaie, Hosein, & Yekesadat, Seyedmeysam. (2020). Carotid Artery Thrombosis Following Blunt Neck Trauma; a Case Report. (FRONTIERS IN EMERGENCY MEDICINE) ADVANCED JOURNAL OF EMERGENCY MEDICINE, 4(4), 0-0. SID. https://sid.ir/paper/745438/en

Vancouver: Copy

Khodayar Maryam, SOTOODEHNIA MEHRAN, Noyani Amir, Sheidaie Hosein, Yekesadat Seyedmeysam. Carotid Artery Thrombosis Following Blunt Neck Trauma; a Case Report. (FRONTIERS IN EMERGENCY MEDICINE) ADVANCED JOURNAL OF EMERGENCY MEDICINE[Internet]. 2020;4(4):0-0. Available from: https://sid.ir/paper/745438/en

IEEE: Copy

Maryam Khodayar, MEHRAN SOTOODEHNIA, Amir Noyani, Hosein Sheidaie, and Seyedmeysam Yekesadat, “Carotid Artery Thrombosis Following Blunt Neck Trauma; a Case Report,” (FRONTIERS IN EMERGENCY MEDICINE) ADVANCED JOURNAL OF EMERGENCY MEDICINE, vol. 4, no. 4, pp. 0–0, 2020, [Online]. Available: https://sid.ir/paper/745438/en

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