Stroke Secondary to Traumatic Carotid Artery Injury – A Case Report

Bajkó, Zoltán; Maier, Smaranda; Moţăţăianu, Anca; Bălaşa, Rodica; Vasiu, Smaranda; Stoian, Adina; Andone, Sebastian

doi:10.2478/jccm-2018-0003

Cited by 8 publications

(7 citation statements)

References 18 publications

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“…Few cases report published vertebral and carotid artery dissection and pseudo dissections with severe cerebral ischemic signs and symptoms without GCA 18–22 . A case report presented a 56‐year‐old man with arthralgia, weight loss, and progressing minor neurological symptoms over 1 month.…”

Section: Discussionmentioning

confidence: 99%

“…17 Few cases report published vertebral and carotid artery dissection and pseudo dissections with severe cerebral ischemic signs and symptoms without GCA. [18][19][20][21][22] A case report presented a 56-year-old man with arthralgia, weight loss, and progressing minor neurological symptoms over 1 month. Neurosoncological evaluation indicates occlusion in both internal carotid arteries (ICA) and intracranial segments of the left vertebral artery (VA) and the famous hypoechoic halo sign in both superficial temporal arteries.…”

Section: Discussionmentioning

confidence: 99%

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Giant cell arteritis with rare manifestations of stroke and internal carotid artery dissection: A case study

Hashami

Ketabforoush

Nirouei

2022

Clinical Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Giant cell arteritis with rare manifestations of stroke and internal carotid artery dissection: A case study

Hashami

Ketabforoush

Nirouei

2022

Clinical Case Reports

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“…(17) Few case reports published vertebral and carotid artery dissection and pseudo dissections with severe cerebral ischemic signs and symptoms without GCA. (18)(19)(20)(21)(22)A case report presented a 56-year-old man with arthralgia, weight loss, and progressing minor neurological symptoms over one month.…”

Section: Discussionmentioning

confidence: 99%

Stroke and internal carotid dissection as the first manifestation of giant cell arteritis: a case report

Hashami

Ketabforoush

Nirouei³

2022

Preprint

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Introduction: Giant Cell Arteritis (GCA) is a systemic vasculitis that involves medium-sized and larger arteries.GCA rarely can affect the brain-arteries, resulting in ischemic strokes and transient ischemic attacks, whereby the most affected region is vertebrobasilar. Also, it's very unusual that cocurate with large artery dissections. We describe a patient with anterior brain territory stroke and right internal carotid dissection as the first manifestation of GCA.Case report: A 51-year-old man was presented with sudden onset of right-side blurred vision, frozen movements, and ptosis in the right eye and left side paresis. There was a history of right-sided frontotemporal headache, diabetes mellitus, and dyslipidemia. The Laboratory tests show erythrocyte sedimentation rate (ESR)=90, C-reactive protein (CRP)=15mg/L. CT scan and brain MRI indicated an acute ischemic infarction in the right frontal region. CT-Angiography has shown internal carotid artery dissection. Due to the presentation and lab tests, we started Methylprednisolone 1 gr for treating GCA, and temporal artery biopsy was positive for GCA in pathology findings. After ten days, inflammatory markers were reduced (ESR:40). Besides improving headaches, there was no significant change in eye deficits and reduction of left limb's force.Conclusion: Due to the noisy symptoms in patients with Stroke and carotid dissection, the diagnosis of GCA may be neglected as an underlying cause. The association of high CRP levels and the rate of ESR with Stroke, although nonspecific, should draw some attention to vasculitis, topped by GCA.

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“…Higher densities are mainly caused by the protein fraction of hemoglobin, much less by its iron content, which contributes only to 7-8% to its attenuation (10). Thrombi retrieved from patients with a dense MCA have, on average, a higher content of red blood cells (11)(12)(13)(14) and are more frequently associated with a cardioembolic stroke subtype (15). These observations are not confirmed for BAO.…”

Section: Hyperdense Basilar Artery (Hdba) Signmentioning

confidence: 94%

Diagnostic and prognostic computed tomography imaging markers in basilar artery occlusion (Review)

et al. 2021

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Acute ischemic stroke treatment has been revolutionized by the addition of mechanical and aspiration thrombectomy. Randomized controlled trials have proven beyond doubt, the substantial clinical impact of endovascular interventions in anterior circulation territory strokes. Unfortunately, patients with vertebrobasilar ischemic stroke could not be included in these early trials due to inherent clinical, radiological, and prognostic particularities of posterior circulation ischemia; thus, indications for the treatment of posterior fossa strokes and basilar artery occlusion (BAO) are mainly based on retrospective studies and registries. BAO carries high morbidity and mortality, despite the new improvements in endovascular therapy. Identifying patients who will likely benefit from invasive treatment and have a good clinical outcome resides in discovering clinical, biological, or imaging markers, that have prognostic implications. Such imaging markers have been described, especially in the last decade.

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Stroke Secondary to Traumatic Carotid Artery Injury – A Case Report

Abstract: Introduction: Lesions of the carotid and vertebral arteries secondary to direct trauma, called blunt cerebrovascular

Cited by 8 publications

References 18 publications

Giant cell arteritis with rare manifestations of stroke and internal carotid artery dissection: A case study

Giant cell arteritis with rare manifestations of stroke and internal carotid artery dissection: A case study

Stroke and internal carotid dissection as the first manifestation of giant cell arteritis: a case report

Diagnostic and prognostic computed tomography imaging markers in basilar artery occlusion (Review)

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