Applegate L J, Pritz M B, Pribram H F
Department of Radiological Sciences, California College of Medicine, University of California, Irvine Medical Center, Orange.
Neurosurgery. 1990 Feb;26(2):312-5. doi: 10.1097/00006123-199002000-00020.
A patient who sustained a gunshot wound to the neck and subsequent blunt trauma is presented. No angiogram was performed after the initial injury. Subsequently, the patient developed a cerebral embolus from a thrombus dislodged from a pseudoaneurysm of the cervical carotid artery, resulting in complete occlusion of the distal internal carotid artery. After antiplatelet therapy, the distal internal carotid artery recanalized, and the pseudoaneurysm occluded spontaneously. We stress the need for the use of arteriography in the initial evaluation of penetrating injuries to the neck and the utility of repeated arteriograms for further treatment planning as these traumatic lesions can change with time.
本文报告了一名颈部遭受枪伤并随后受到钝性创伤的患者。初始损伤后未进行血管造影。随后，患者因颈内动脉假性动脉瘤的血栓脱落形成脑栓塞，导致颈内动脉远端完全闭塞。经抗血小板治疗后，颈内动脉远端再通，假性动脉瘤自行闭塞。我们强调在颈部穿透伤的初始评估中使用动脉造影的必要性，以及重复动脉造影对进一步治疗规划的实用性，因为这些创伤性病变会随时间变化。
