de Borst Gerrit J, Slieker Martijn G, Monteiro Louisa M, Moll Frans L, Braun Kees P J
Department of Vascular Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Pediatr Neurol. 2006 May;34(5):408-11. doi: 10.1016/j.pediatrneurol.2005.09.005.
Traumatic dissection of the carotid artery is an infrequent but serious complication of blunt craniocervical injury. There is controversy regarding the need for diagnostic screening and management. This report presents a child with delayed neurologic symptoms and multiple cerebral infarcts secondary to bilateral extracranial traumatic carotid artery dissection. The pathophysiology, clinical presentation, and treatment options of blunt carotid artery trauma are discussed.
颈动脉创伤性夹层是钝性颅脑颈损伤中一种少见但严重的并发症。对于诊断性筛查和治疗的必要性存在争议。本报告介绍了一名儿童,因双侧颅外创伤性颈动脉夹层继发延迟性神经症状和多发性脑梗死。本文讨论了钝性颈动脉创伤的病理生理学、临床表现及治疗选择。