Hjort Mathias, Ljungberg Merete, Jakobsen Linda
Ortopædkirurgisk Afdeling, Herlev Hospital, 2370 Herlev, Denmark.
Ugeskr Laeger. 2011 Feb 28;173(9):658-9.
This case study discusses the clinical manifestations of carotid dissection in a 58-year-old male admitted with minor injuries after a traffic accident. Within 24 hours the patient developed Horner syndrome, hoarseness and possible facial nerve palsy. A CT-angiogram showed dissection of the left carotid artery in its extracranial part. The patient was treated with anticoagulants and transferred to a neurological ward for further examination. Follow-up with CT angiography was scheduled for five months later.
本病例研究讨论了一名58岁男性在交通事故中受轻伤入院后颈动脉夹层的临床表现。在24小时内,患者出现了霍纳综合征、声音嘶哑以及可能的面神经麻痹。CT血管造影显示左颈动脉颅外段夹层。患者接受了抗凝治疗,并被转至神经科病房进行进一步检查。计划在五个月后进行CT血管造影随访。