Delayed Stroke following Blunt Neck Trauma: A Case Illustration with Recommendations for Diagnosis and Treatment
Joint Authors
Rosenthal, Andrew
Treitl, Daniela
Anyama, Best
Wessell, Jeffery
Solomon, Rachele
Source
Case Reports in Emergency Medicine
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-02-09
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Blunt cerebrovascular injury (BCVI) to the carotid artery is a relatively rare injury that is difficult to identify even with imaging.
Any symptoms or neurological deficits following blunt neck injury mandate evaluation and consideration of BCVI.
In an effort to highlight this issue, we report the case of a 31-year-old male patient who presented with left-sided weakness consistent with transient ischemic attack (TIA) and concussion.
The patient’s symptoms occurred within 24 hours of a blunt neck injury sustained by a knee strike during a basketball game.
An initial computerized tomography (CT) scan of the brain was normal; a CT angiogram (CTA) of the neck and carotids did not reveal obstruction, dissection, stenosis, or abnormalities of the carotid or vertebral vessels and the patient was subsequently discharged.
A magnetic resonance imaging (MRI) of the brain obtained four days after the initial injury demonstrated an acute infarct in the right middle cerebral artery (MCA) territory.
Thus, despite initial negative imaging, neurological deficits must be aggressively pursued in order to prevent stroke in BCVI cases.
American Psychological Association (APA)
Anyama, Best& Treitl, Daniela& Wessell, Jeffery& Solomon, Rachele& Rosenthal, Andrew. 2017. Delayed Stroke following Blunt Neck Trauma: A Case Illustration with Recommendations for Diagnosis and Treatment. Case Reports in Emergency Medicine،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1145213
Modern Language Association (MLA)
Anyama, Best…[et al.]. Delayed Stroke following Blunt Neck Trauma: A Case Illustration with Recommendations for Diagnosis and Treatment. Case Reports in Emergency Medicine No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1145213
American Medical Association (AMA)
Anyama, Best& Treitl, Daniela& Wessell, Jeffery& Solomon, Rachele& Rosenthal, Andrew. Delayed Stroke following Blunt Neck Trauma: A Case Illustration with Recommendations for Diagnosis and Treatment. Case Reports in Emergency Medicine. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1145213
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145213