ISCHEMIC STROKE SECONDARY DUE TO BLUNT CAROTID ARTERY INJURY A CASE REPORT AND LITERATURE REVIEW

Ha Manh Hung1, Lê Đình Toàn 1, Le Van Quan2,
1 Bệnh viện Trung ương Quân đội 108
2 Bệnh viện Quân y 103, Học viện Quân y

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Abstract

Ischemic stroke secondary due to blunt cerebrovascular injury is a rare complication, with high morbidities, severity neurological outcome. However, we do not pay enough attention to the diagnosis and treatment of acute ischemic stroke due to blunt cerebrovascular injury. We report a typical case of acute ischemic stroke due to blunt cerebrovascular injury. Unfortunately, this patient did not receive timelineless emergency and treatment, suffered from severe neurological deficit. These patients suffered from blunt cerebrovascular injury required to be careful screening, prompt diagnosis, and aggressive treatment with therapies such as anticoagulants, endovascular intervention, and surgery to reduce mortality and severe neurological deficit.

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References

1. Jacobson EL, Ziemba-Davis M, Herrera AJ. The limitations of using risk factors to screen for blunt cerebrovascular injuries: The harder you look, the more you find. World J Emerg Surg. 2015.
2. David Zohrabian. Carotid artery dissection medication. Medscape. 2019.
3. Walter L Biffl, Clay Cothren Burlew, Ernest E Moore. Blunt cerebrovascular injury: Treatment and outcomes. Up To Date. 2023.
4. Foreman PM, Harrigan MR. Blunt traumatic extracranial cerebrovascular injury and ischemic stroke. Cerebrovasc Dis Extra. 2017.
5. Grandhi R, Weiner GM, Agarwal N, et al. Limitations of multidetector computed tomography angiography for the diagnosis of blunt cerebrovascular injury. J Neurosurg. 2017.
6. CADISS trial investigators, Markus HS, Hayter E, et al. Antiplatelet treatment compared with anticoagulation treatment for cervical artery dissection (CADISS): A randomised trial. Lancet Neurol. 2015.
7. Cothren CC, Moore EE, Ray CE Jr, et al. Carotid artery stents for blunt cerebrovascular injury: Risks exceed benefits. Arch Surg. 2005.
8. Shahan CP, Sharpe JP, Stickley SM, et al. The changing role of endovascular stenting for blunt cerebrovascular injuries. J Trauma Acute Care Surg. 2018.
9. Trần Xuân Thủy, Lê Văn Trường, Nguyễn Trọng Tuyển, và CS. Tổn thương nhồi máu não cấp do bóc tách động mạch cảnh trong sau chấn thương sọ mặt: Thông báo 2 trường hợp. Tạp chí Y Dược lâm sàng 108. Tập 16 - Số 5/2021.