利多卡因神经阻滞注射创伤致颈内动脉夹层：1例罕见病例报告
Internal Carotid Artery Dissection with Lidocaine Nerve Block Injection Trauma: A Rare Case Report.
作者信息
Narula Naureen, Siddiqui Faraz, Katyal Nakul, Avula Akshay, Chalhoub Michel
机构信息
Internal Medicine, Staten Island University Hospital.
Pulmonary and Critical Care, Staten Island University Hospital.
出版信息
Cureus. 2018 Jan 5;10(1):e2027. doi: 10.7759/cureus.2027.
Internal carotid artery dissection (ICAD) accounts for 25% of cerebrovascular accidents in young and middle-aged patients. Dissection occurs when the intimal wall of an artery is damaged as a result of trauma or defect. ICAD development after dental work is a relatively uncommon phenomenon. Our study highlights a rare presentation of ICAD that resulted from a direct lidocaine nerve block injection in a patient undergoing pulpotomy for a right maxillary second premolar tooth. We have described the case and reviewed the literature on this rare but potentially life-threatening phenomenon.
颈内动脉夹层（ICAD）占中青年患者脑血管意外的25%。当动脉内膜壁因创伤或缺陷而受损时，就会发生夹层。牙科治疗后发生ICAD是一种相对不常见的现象。我们的研究强调了ICAD的一种罕见表现，该表现是由一名正在接受右上颌第二前磨牙牙髓切断术的患者直接注射利多卡因进行神经阻滞引起的。我们描述了该病例，并回顾了关于这种罕见但可能危及生命现象的文献。
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