Traumatic pseudoaneurysm of the cervical carotid artery: the value of arteriography.

Abstract:

:A patient who sustained a gunshot wound to the neck and subsequent blunt trauma is presented. No angiogram was performed after the initial injury. Subsequently, the patient developed a cerebral embolus from a thrombus dislodged from a pseudoaneurysm of the cervical carotid artery, resulting in complete occlusion of the distal internal carotid artery. After antiplatelet therapy, the distal internal carotid artery recanalized, and the pseudoaneurysm occluded spontaneously. We stress the need for the use of arteriography in the initial evaluation of penetrating injuries to the neck and the utility of repeated arteriograms for further treatment planning as these traumatic lesions can change with time.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Applegate LJ,Pritz MB,Pribram HF

doi

10.1097/00006123-199002000-00020

subject

Has Abstract

pub_date

1990-02-01 00:00:00

pages

312-5

issue

2

eissn

0148-396X

issn

1524-4040

journal_volume

26

pub_type

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