VOLUME 3 , ISSUE 2 ( May-August, 2024 ) > List of Articles
Adithya S Chiranjeevi, Pradeep M Venkategowda, Varun M Nagaraja, Himaaldev G Jayakumar
Keywords : Carotid artery, Case report, Dissection, Ischemic stroke, Trauma
Citation Information : Chiranjeevi AS, Venkategowda PM, Nagaraja VM, Jayakumar HG. Posttraumatic Ischemic Stroke Secondary to Traumatic Internal Carotid Artery Dissection: A Case Report. 2024; 3 (2):88-90.
DOI: 10.5005/jp-journals-10089-0122
License: CC BY-NC 4.0
Published Online: 19-08-2024
Copyright Statement: Copyright © 2024; The Author(s).
Traumatic internal carotid artery dissection (TICAD) is a rare condition that can be associated with severe neurological disability or even death. We describe a male patient who was admitted to a tertiary care facility after a fall from a two-wheeler. The patient sustained multiple abrasions over the chest and abdomen. Computed tomography (CT) of the brain revealed multiple patchy infarcts in the bilateral cerebral hemispheres. The patient was electively intubated in the intensive care unit (ICU) due to a poor Glasgow Coma Scale (GCS). CT angiography (CTA) of the neck vessels and the brain showed significant focal narrowing (90%) in the distal left internal carotid artery (ICA) just before entering the petrous temporal bone, suggesting a thrombus secondary to dissection. After multidisciplinary team discussions, the patient was treated with aspirin, enoxaparin, and other supportive measures. The patient improved clinically and was discharged home without any neurological deficits.
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