학술논문
A case of blunt left common carotid artery occlusion with right high rib fractures and transverse process fracture of the cervical spine / 右高位肋骨骨折および右頸椎横突起骨折とは対側に生じた外傷性左総頸動脈閉塞の1例
Document Type
Journal Article
Author
Source
日本救急医学会関東地方会雑誌 / KANTO Journal of Japanese Association for Acute Medicine. 2022, 43(3):81
Subject
Language
Japanese
ISSN
0287-301X
2434-2580
2434-2580
Abstract
A man in his 50s was injured in a traffic accident. Computed tomography showed bilateral traumatic pneumothorax, pelvic fractures, and left common carotid artery occlusion. Fourteen hours after admission, right hemiplegia and deterioration of consciousness suddenly appeared, and magnetic resonance imaging showed cerebral infarction. Anticoagulant therapy was started after surgery for the pelvic fracture, and neurological symptoms did not progress. Traumatic common carotid artery occlusion is very rare. Administration of anti-platelet drugs has been reported as useful, but is often difficult in polytrauma patients. Further study is needed regarding optimal treatment in the future.