• Der Unfallchirurg · May 1999

    Case Reports

    [Bilateral traumatic dissection of the carotid artery].

    • R M Mollen, J Biert, P L Klemm, F G Buskens, and J R Goris.
    • Abteilung Chirurgie und Unfallchirurgie, Universitätsklinik, Nijmegen, Niederlande.
    • Unfallchirurg. 1999 May 1; 102 (5): 398401398-401.

    AbstractBilateral carotid artery dissection is a rare and unusual complication of blunt cervicofacial trauma. The diagnosis of a carotid injury is rarely suspected in trauma patients with neurological deficits. Neurological symptoms may develop in a delayed fashion. Angiography should be considered in trauma patients with hemiplegia and a normal mental status and in patients with blunt cervical trauma with an abnormal neurological examination. Initial heparinisation can prevent arterial thrombosis and neurological deterioration.

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