Traumatic dissection of the internal carotid artery: simultaneous infarct of optic nerve and brain

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Traumatic dissection of the internal carotid artery: simultaneous infarct of optic nerve and brain

KEY CLINICAL MESSAGE Traumatic intracranial internal carotid artery dissection is a rare but significant cause of stroke in patients in their forties, leading to high morbidity and mortality. Simultaneous ischemic stroke and optic nerve infarction can occur. Clinical suspicion of dissection is determining in the acute management.

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A rare combination of facial and hypoglossal nerve palsies following post-traumatic internal carotid artery dissection.

To cite: Naik VD, Shah JV. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2014-209122 DESCRIPTION We report a case of a 17-year-old girl who presented, 1 month after being attacked in a chain snatching incident, with neck trauma, and reports of dysarthria and left-sided facial weakness. The patient neglected initial symptoms of headache and left-sided neck pain,...

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Ischemic optic neuropathy associated with internal carotid artery dissection.

BACKGROUND Ischemic optic neuropathy (ION) is an infarction of the anterior or, less frequently, posterior part of the optic nerve, usually due to a disease of small arteries supplying the optic nerve. Carotid stenosis or occlusions are rare causes, and among them, carotid dissections have been so far reported in only 5 cases. METHODS We describe 4 patients with ION (2 anterior and 2 posterio...

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Traumatic internal carotid artery dissection presenting as delayed hemilingual paresis.

A case of internal carotid artery dissection presenting as delayed right hemilingual paresis after blunt craniocervical trauma is presented. Diagnosis is discussed with emphasis on MR and MR angiographic findings. Mechanisms of injury and lower cranial nerve palsy are also briefly discussed.

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Isolated hypoglossal nerve palsy due to internal carotid artery dissection.

A case of an isolated hypoglossal nerve palsy is reported. The differential diagnosis is discussed, in the context of the requirement for careful scrutiny of the entire course of the hypoglossal nerve on imaging, to detect underlying pathology remote from the tongue, and to avoid unnecessary invasive diagnostic procedures prompted by the appearance of a 'pseudomass' of the weak tongue both clin...

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ژورنال

عنوان ژورنال: Clinical Case Reports

سال: 2014

ISSN: 2050-0904,2050-0904

DOI: 10.1002/ccr3.53