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2017 ; 2017
(ä): 3931985
Nephropedia Template TP
gab.com Text
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English Wikipedia
Delayed Stroke following Blunt Neck Trauma: A Case Illustration with
Recommendations for Diagnosis and Treatment
#MMPMID28280639
Anyama B
; Treitl D
; Wessell J
; Solomon R
; Rosenthal AA
Case Rep Emerg Med
2017[]; 2017
(ä): 3931985
PMID28280639
show ga
Blunt cerebrovascular injury (BCVI) to the carotid artery is a relatively rare
injury that is difficult to identify even with imaging. Any symptoms or
neurological deficits following blunt neck injury mandate evaluation and
consideration of BCVI. In an effort to highlight this issue, we report the case
of a 31-year-old male patient who presented with left-sided weakness consistent
with transient ischemic attack (TIA) and concussion. The patient's symptoms
occurred within 24 hours of a blunt neck injury sustained by a knee strike during
a basketball game. An initial computerized tomography (CT) scan of the brain was
normal; a CT angiogram (CTA) of the neck and carotids did not reveal obstruction,
dissection, stenosis, or abnormalities of the carotid or vertebral vessels and
the patient was subsequently discharged. A magnetic resonance imaging (MRI) of
the brain obtained four days after the initial injury demonstrated an acute
infarct in the right middle cerebral artery (MCA) territory. Thus, despite
initial negative imaging, neurological deficits must be aggressively pursued in
order to prevent stroke in BCVI cases.