Delayed presentation of carotid artery dissection following major orthopaedic trauma resulting in dense hemiparesis.

Hdl Handle:
http://hdl.handle.net/10147/203232
Title:
Delayed presentation of carotid artery dissection following major orthopaedic trauma resulting in dense hemiparesis.
Authors:
Edmundson, S P; Hirpara, K M; Ryan, R S; O'Malley, T; O'Grady, P
Affiliation:
Department of Trauma and Orthopaedics, Mayo General Hospital, Westport Road,, Castlebar, County Mayo, Ireland. stevenedmundson@yahoo.co.uk
Citation:
J Bone Joint Surg Br. 2009 Apr;91(4):536-9.
Journal:
The Journal of bone and joint surgery. British volume
Issue Date:
31-Jan-2012
URI:
http://hdl.handle.net/10147/203232
DOI:
10.1302/0301-620X.91B4.22008
PubMed ID:
19336818
Abstract:
We report a 30-year-old patient who was involved in a high-velocity road traffic accident and developed a left-sided hemiparesis, which was noted in the post-operative period following bilateral femoral intramedullary nailing. CT scanning of the brain revealed infarcts in the right frontal and parietal lobes in the distribution of the right middle cerebral artery. CT angiography showed occlusion of the right internal carotid artery consistent with internal carotid artery dissection. He was anticoagulated and nine months later was able to walk independently. An awareness of this injury is needed to diagnose blunt trauma to the internal carotid artery. Even in the absence of obvious neck trauma, carotid artery dissection should be suspected in patients with a neurological deficit in the peri-operative period.
Language:
eng
MeSH:
Accidents, Traffic; Adult; Carotid Artery, Internal, Dissection/complications/*radiography; Diagnosis, Differential; Femoral Fractures/radiography/surgery; Humans; Male; Multiple Trauma/radiography/surgery; Paresis/*etiology; Tomography, X-Ray Computed
ISSN:
0301-620X (Print); 0301-620X (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorEdmundson, S Pen_GB
dc.contributor.authorHirpara, K Men_GB
dc.contributor.authorRyan, R Sen_GB
dc.contributor.authorO'Malley, Ten_GB
dc.contributor.authorO'Grady, Pen_GB
dc.date.accessioned2012-01-31T15:55:03Z-
dc.date.available2012-01-31T15:55:03Z-
dc.date.issued2012-01-31T15:55:03Z-
dc.identifier.citationJ Bone Joint Surg Br. 2009 Apr;91(4):536-9.en_GB
dc.identifier.issn0301-620X (Print)en_GB
dc.identifier.issn0301-620X (Linking)en_GB
dc.identifier.pmid19336818en_GB
dc.identifier.doi10.1302/0301-620X.91B4.22008en_GB
dc.identifier.urihttp://hdl.handle.net/10147/203232-
dc.description.abstractWe report a 30-year-old patient who was involved in a high-velocity road traffic accident and developed a left-sided hemiparesis, which was noted in the post-operative period following bilateral femoral intramedullary nailing. CT scanning of the brain revealed infarcts in the right frontal and parietal lobes in the distribution of the right middle cerebral artery. CT angiography showed occlusion of the right internal carotid artery consistent with internal carotid artery dissection. He was anticoagulated and nine months later was able to walk independently. An awareness of this injury is needed to diagnose blunt trauma to the internal carotid artery. Even in the absence of obvious neck trauma, carotid artery dissection should be suspected in patients with a neurological deficit in the peri-operative period.en_GB
dc.language.isoengen_GB
dc.subject.meshAccidents, Trafficen_GB
dc.subject.meshAdulten_GB
dc.subject.meshCarotid Artery, Internal, Dissection/complications/*radiographyen_GB
dc.subject.meshDiagnosis, Differentialen_GB
dc.subject.meshFemoral Fractures/radiography/surgeryen_GB
dc.subject.meshHumansen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMultiple Trauma/radiography/surgeryen_GB
dc.subject.meshParesis/*etiologyen_GB
dc.subject.meshTomography, X-Ray Computeden_GB
dc.titleDelayed presentation of carotid artery dissection following major orthopaedic trauma resulting in dense hemiparesis.en_GB
dc.contributor.departmentDepartment of Trauma and Orthopaedics, Mayo General Hospital, Westport Road,, Castlebar, County Mayo, Ireland. stevenedmundson@yahoo.co.uken_GB
dc.identifier.journalThe Journal of bone and joint surgery. British volumeen_GB
dc.description.provinceConnacht-

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