• Minim Invas Neurosur · Apr 2007

    Case Reports

    Endovascular stent placement of cervical internal carotid artery dissection related to a seat-belt injury: a case report.

    • N Nakagawa, F Akai, N Fukawa, H Yugami, A Kimoto, S Majima, and M Taneda.
    • Department of Neurosurgery, Kinki University School of Medicine, Osakasayama, Japan. nakkan@neuro-s.med.kindai.ac.jp
    • Minim Invas Neurosur. 2007 Apr 1;50(2):115-9.

    ObjectThe incidence of carotid artery dissection related to blunt injury is very low, but the mortality rate is high. Rapid diagnosis and proper treatments are discussed.Clinical PresentationA 48-year-old woman presented diplopia and pulsating tinnitus of the left ear. An angiography showed a carotid cavernous fistula (CCF) and dissection of the extra-cranial internal carotid artery (ICA). To treat the dissection, a self-expanding endovascular stent was used. She has been followed for 6 years without any event and the ICA is patent.ConclusionPrompt diagnosis without delay and intimate follow-up is the key for the treatment of a carotid injury. Those patients who exhibit cervical bruits and/or seat-belt signs should be examined aggressively. Angioplasty with stents is amenable for patients with traumatic carotid dissections requiring vascular reconstruction in the acute stage.

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