A review of 2,000 patients with craniocerebral injuries with regard to intracranial haematomas and other vascular complications

Gindi, S. El; Salama, Mervat A.; Tawfik, Eman A.; Nasr, H; Nadi, F. El

doi:10.1007/bf02056972

Cited by 19 publications

(5 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Others reviewed 2000 blunt cervicocerebral injuries and reported a 0.5% incidence of injury to the extracranial carotid artery. 7 In a case similar to ours, Lalak and Farmer 6 Traumatic pseudoaneurysm of the external carotid artery with parotid mass and delayed facial nerve palsy reported two cases of traumatic pseudoaneurysm of the superficial temporal artery associated with facial nerve palsy.…”

Section: Discussionsupporting

confidence: 71%

“…Brown et al 3 reported 20 cases of injury to the internal carotid artery over a period of 36 years, the majority of which occurred in the neck and were the result of penetrating wounds. Others reviewed 2000 blunt cervicocerebral injuries and reported a 0.5% incidence of injury to the extracranial carotid artery 7 . In a case similar to ours, Lalak and Farmer 6 reported two cases of traumatic pseudoaneurysm of the superficial temporal artery associated with facial nerve palsy.…”

Section: Discussionsupporting

confidence: 67%

“…In cases of aneurysm of the internal carotid artery in the neck, the clinical manifestations include a pulsating mass in the neck, dysphagia, respiratory obstruction, pain in the neck, and cerebrovascular symptom 7 . However, in this case of pseudoaneurysm of the external carotid artery of the face, only pain and swelling were present at the time of injury.…”

Section: Discussionmentioning

confidence: 70%

See 2 more Smart Citations

Traumatic pseudoaneurysm of the external carotid artery with parotid mass and delayed facial nerve palsy

Rhee

Jinn

Jung

et al. 1999

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

Pseudoaneurysm is a rare complication after trauma. A true aneurysm is a dilatation of the vessel wall, whereas a pseudoaneurysm is a weakening or rent in a vessel wall with contained rupture into the surrounding tissues. The cause of a true aneurysm is often an arteriosclerotic or inflammatory process and congenital malformations. Pseudoaneurysms are usually posttraumatic. 1 Causes of pseudoaneurysm of the carotid artery include deep neck infection, 2 blunt or penetrating trauma of the cervicofacial region, 3 , 4 and radiation therapy. 5 Injury to the carotid artery, by either direct or indirect forces, is rare but may produce either dissection of the vessel wall or formation of a pseudoaneurysm. Although pseudoaneurysm of the superficial temporal artery after trauma has been reported 6 occasionally, traumatic pseudoaneurysm of the external carotid artery between the internal maxillary and facial arteries associated with a parotid mass and subsequent facial palsy is an uncommon event.

show abstract

Section: Discussionsupporting

confidence: 71%

Section: Discussionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 70%

See 1 more Smart Citation

Traumatic pseudoaneurysm of the external carotid artery with parotid mass and delayed facial nerve palsy

Rhee

Jinn

Jung

et al. 1999

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

“…Plain radiographs may reveal pneumocephalus or airfluid levels in the sphenoid sinus, but they are relaIntracranial-Extraaxial Injury. Epidural hematomas (EDSs) occur in 1 to 5% of major head trauma [8,9], with an associated mortality of 7 to 32% [B]. EDH is often the result of a relatively focal impact that fractures the skull and leads to rupture of an artery coursing through the calvarium, such as the middle meningeal.…”

Section: Primary Posttraumatic Craniocerebral Pathologymentioning

confidence: 99%

Trauma Radiology: Part IV. Imaging of Acute Craniocerebral Trauma

Shanmuganathan

1994

J Intensive Care Med

View full text Add to dashboard Cite

Diagnostic imaging has a key role in diagnosis and management of patients sustaining craniocerebral injuries from trauma. We review the current role of skull radiography, computed tomography (CT), and magnetic resonance (MR) in imaging patients sustaining craniocerebral trauma, and we describe the appearance of major forms of pathology as depicted by each modality. CT scan is used to assess quickly the extent of injury and to triage patients to observation, medical, or neurosurgical management. CT findings can be divided into primary craniocerebral injuries, including skull fractures; extraaxial hematomas (subdural and epidural); intraparenchymal injury, such as hematoma, contusion, and diffuse axonal shearing; and intraventricular or subarachnoid hemorrhage. Secondary manifestations of injury, such as cerebral edema and herniation, are also identified, and their course can be followed by serial CT. CT is crucial in assessing the outcome of surgical intervention and in identifying potential delayed complications of either head trauma or surgical intervention, including infection, delayed hemorrhage, cerebral infarction, and tension pneumocephalus. In recent years, MRI has been shown to be valuable in diagnosing cerebral injury. MRI has generally been shown to have greater overall accuracy than CT in identifying and characterizing most forms of traumatic cerebral pathology, but it is less accurate at demonstrating subarachnoid hemorrhage acutely, pneumocephalus, and calvarial fractures, particularly those involving the skull base. Moreover, MRI is still more difficult to perform than CT in critically ill patients, and it is generally far more time-consuming. However, MRI is unequivocally more accurate than CT at revealing certain lesions, particularly brainstem contusion, diffuse axonal shearing, predominantly nonhemorrhagic contusions, and thin collections of blood adjacent to bone, and it should be used selectively when these injuries are suspected.

show abstract

“…There is a small subset of injuries of extra-cranial ICA injuries caused by blunt trauma and some of these occur in the setting of head trauma. The incidence of carotid injury in association with head injury is reported to be between 0.05to 0.5% 3,4 . These injuries are generally missed on initial examination unless one is aware and vigilant.…”

Section: Introductionmentioning

confidence: 99%

Traumatic thrombosis of internal carotid artery

Singh¹,

Rai

Bedi

et al. 2007

The Indian Journal of Neurotrauma

View full text Add to dashboard Cite

27 year old soldier sustained closed head injury in a road accident. He was unconscious for about 6hr. When seen at our hospital his GCS was 15/15; normal pupil but he had left hemiplegia. Head CT scan showed a low attenuation lesion in right fronto-parietal region suggestive of infarct. A cerebral angiogram revealed right internal carotid occlusion. He was treated with unsuccessful thrombectomy and STA-MCA by pass, anti-platelet agents and improved partially. Problems of traumatic ICA thrombosis in the setting of head injury are discussed.

show abstract

A review of 2,000 patients with craniocerebral injuries with regard to intracranial haematomas and other vascular complications

Cited by 19 publications

References 12 publications

Traumatic pseudoaneurysm of the external carotid artery with parotid mass and delayed facial nerve palsy

Traumatic pseudoaneurysm of the external carotid artery with parotid mass and delayed facial nerve palsy

Trauma Radiology: Part IV. Imaging of Acute Craniocerebral Trauma

Traumatic thrombosis of internal carotid artery

Contact Info

Product

Resources

About