Thrombosis of Internal Carotid Artery after Soft-palate Injury

Internal Carotid Artery Occlusion in a Child

“…In no other case has an apparently typical atheromatous patch been the underlying cause. Previous cases have followed injury in the region of the soft palate (Braudo, 1956;Fairburn, 1957), severe throat infection (Litchfield, 1938), thrombosis of a patent ductus arteriosus (Gross, 1945;Mymin, 1960), and have been attributed to calcification of the arterial wall (Duffy, Portnoy, Mauro, and Wehrle, 1957), but in the majority no definite pathology could be found. In the middle-aged and elderly the common cause of internal carotid artery occlusion is atheroma, and these cases usually present with a history of intermittent disturbance of cerebral function.…”

Non-penetrating trauma to the carotid artery with secondary thrombosis and embolism: Treatment by Thrombolysin

“…Thus, occlusion has been seen commonly at or just above the carotid bifurcation (Sedzimir 1955). It has also been observed that thrombus may extend distally into the middle cerebral or even anterior cerebral artery (Caldwell and Hadden 1948, Caldwell 1936, Fairburn 1957, Murray 1957, Northcroft and Morgan 1944, Sedzimir 1955, Schneider and Lemmen 1952. This has been noted in occlusions due to other causes (Lhermitte et aI.…”

“…In missile wounds without direct injury, forces transmitted against the vessel wall have also resulted in thrombosis (Caldwell and Hadden 1948, Clarke et al 1955, Frantzen et al 1961, Gurdjian et al 1963, Linell and Tom 1959, Little et al 1969, Murray 1957, Northcroft and Morgan 1944, Raney 1948, Zilka 1970. Blunt trauma can also be delivered to the carotid artery in intraoral injuries since the artery lies close to the surface of the tonsillar fossa (Bickerstaff 1964, Braudo 1956, Caldwell 1936, Fairburn 1957, Miller and Ayers 1967, Pitner 1966, Scott et al 1960, Shillito 1964.…”

Traumatic Thrombosis of the Internal Carotid Artery

“…Both these patients died. The rare cases in which injury occurs through the soft palate (Fairburn, 1957) have not been considered here. Summary Two further cases of thrombosis of the internal carotid artery after non-penetrating injury are described.…”