• Orthop Traumatol Sur · Jun 2011

    Review Case Reports

    Posterior reversible encephalopathy syndrome in a context of isolated cervical spine fracture: CT angiogram as an early detector of blunt carotid artery trauma.

    • R El Rachkidi, M Soubeyrand, C Vincent, V Molina, and C Court.
    • Bicêtre hospital, 78, General-Leclerc avenue, 94270 Kremlin-Bicêtre, France. ramirachkidi@hotmail.com
    • Orthop Traumatol Sur. 2011 Jun 1;97(4):454-8.

    AbstractBlunt carotid injury associated with cervical spine fractures is a rare entity but potentially lethal. An initial, clinically silent period can be misleading. Prompt diagnosis and treatment are mandatory to avoid neurological damages and death. We present the case of a 36-year-old man diagnosed with an isolated cervical spine fracture, where an associated carotid artery lesion was initially overlooked and diagnosis was made after development of a neurological deterioration secondary to a posterior reversible encephalopathy syndrome (PRES). We discuss a simple algorithm that can be used to make the diagnosis, even during the clinically asymptomatic period of this injury.Copyright © 2011. Published by Elsevier Masson SAS.

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