Traumatic bilateral carotid dissection with concomitant cerebral infarction

Sean J Pittock, Joan T. Moroney, Michael Alexander, Paul Brennan, David Moorhouse

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

A 40-year-old man presented with a major nondominant hemisphere stroke syndrome after a road traffic accident. Cranial computed tomography scan revealed an extensive right hemisphere infarction involving the entire anterior and middle cerebral artery territories. Duplex Doppler ultrasound and cerebral angiography revealed bilateral internal carotid artery dissection with evidence of underlying fibromuscular dysplasia. Anticoagulation with heparin was commenced despite the coexisting large cerebral infarction, with the objective of protecting the uninjured but at-risk left cerebral hemisphere from ischemic injury. Patients with multiple cerebral arterial dissections complicated by cerebral infarction present a significant management dilemma. Our literature review revealed a lack of clear management guidelines for such cases.

Original languageEnglish (US)
Pages (from-to)33-38
Number of pages6
JournalJournal of Emergency Medicine
Volume20
Issue number1
DOIs
StatePublished - 2001

Fingerprint

Cerebral Infarction
Dissection
Internal Carotid Artery Dissection
Fibromuscular Dysplasia
Anterior Cerebral Artery
Doppler Ultrasonography
Cerebral Angiography
Traffic Accidents
Middle Cerebral Artery
Cerebrum
Infarction
Heparin
Stroke
Tomography
Guidelines
Wounds and Injuries

Keywords

  • Carotid dissection
  • Cerebral infarction
  • Drug therapy
  • Fibromuscular dysplasia
  • Trauma

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Traumatic bilateral carotid dissection with concomitant cerebral infarction. / Pittock, Sean J; Moroney, Joan T.; Alexander, Michael; Brennan, Paul; Moorhouse, David.

In: Journal of Emergency Medicine, Vol. 20, No. 1, 2001, p. 33-38.

Research output: Contribution to journalArticle

Pittock, Sean J ; Moroney, Joan T. ; Alexander, Michael ; Brennan, Paul ; Moorhouse, David. / Traumatic bilateral carotid dissection with concomitant cerebral infarction. In: Journal of Emergency Medicine. 2001 ; Vol. 20, No. 1. pp. 33-38.
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