Ergül Dursun Fırat, Ekemen Serdar, Özdemir Özcan, Uzan Çağdaş, Yelken Birgül
Department of Anaesthesiology and Reanimation, Division of Intensive Care, Eskişehir Osmangazi University Faculty of Medicine, Eskişehir, Turkey.
Department of Neurology, Eskişehir Osmangazi University Faculty of Medicine, Eskişehir, Turkey.
Turk J Anaesthesiol Reanim. 2015 Jun;43(3):209-11. doi: 10.5152/TJAR.2015.79847. Epub 2015 Feb 16.
Post-traumatic carotid artery dissection is one of the major causes of ischemic stroke in young patients; its diagnosis remains a challenge for clinicians because of its variable clinical presentation. An otherwise healthy 37-year-old man was referred to the intensive care unit of our faculty for the management of multiple trauma because of a car accident. At 11 days from admission, his doctor noticed the advent of anisocoria. A prompt treatment was instituted with anti-platelet and-coagulant agents. The patient had a complete resolution of symptoms. The prognosis was good, and the patient achieved a complete clinical recovery. He was discharged without any sequelae.
创伤后颈动脉夹层是年轻患者缺血性卒中的主要病因之一；因其临床表现多样，对临床医生而言，其诊断仍是一项挑战。一名原本健康的37岁男性因车祸导致多处创伤，被转诊至我院重症监护病房。入院11天后，他的医生注意到出现了瞳孔不等大。随即使用抗血小板和抗凝药物进行了及时治疗。患者症状完全缓解。预后良好，患者实现了完全的临床康复。他出院时没有任何后遗症。
