Chakera T M
Br J Radiol. 1979 Sep;52(621):704-8. doi: 10.1259/0007-1285-52-621-704.
Angiographic features of three patients with bilateral internal carotid artery injury (spasm/dissection/thrombosis) due to non-penetrating trauma are reported. All three patients were involved in motor vehicle accidents. Focal-localizing neurological signs were present and the patients were suspected of having extracerebral haematomas. The diagnosis of traumatic spasm/dissection/thrombosis of the cervical portion of the internal carotid arteries was made following angiography. The need to include views of the cervical carotid arteries in cases of traumatic hemiparesis is stressed and possible effect of cranial CT scanning in these patients on diagnosis of carotid artery injury discussed.
报告了3例因非穿透性创伤导致双侧颈内动脉损伤（痉挛/夹层/血栓形成）患者的血管造影特征。所有3例患者均遭遇机动车事故。患者出现局灶性定位神经体征，怀疑有脑外血肿。颈内动脉颈部创伤性痉挛/夹层/血栓形成的诊断是在血管造影后作出的。强调在创伤性偏瘫病例中需要包括颈总动脉的影像，并讨论了这些患者头颅CT扫描对颈动脉损伤诊断的可能影响。
