ANİ FRENE BAĞLI TRAVMATİK KAROTİS ARTER DİSEKSİYONU: OLGU SUNUMU

İnternal karotis arter diseksiyonu, iskemik inme nedenlerinden biri olup son zamanlarda artarak teşhis edilmektedir. Çeşitli görüntüleme yöntemleri ile teşhis edilebilmesine rağmen manyetik rezonans görüntüleme yüksek duyarlılığı nedeniyle en iyi tanısal yöntemdir. Bu yazıda sağ internal karotis arter diseksiyonuna bağlı inme tanısı alan 16 yaşındaki bir erkek hasta sunulmuştur. Bu olgu sunumunun amacı, bilinç kaybı nedeni ile hastaneye başvuran hastalarda motosiklet kullanımı sırasında ani frenin bile arteriyel diseksiyona neden olabileceğine dikkat çekmektir
Anahtar Kelimeler:

disek, arter, İskemik inme

TRAUMATIC CAROTID ARTERY DISSECTION DUE TO SUDDEN BRAKING: CASE REPORT

Internal carotid artery dissection is one of the causes of ischemic stroke and has been increasingly diagnosed recently. Although it can be diagnosed by various imaging methods, magnetic resonance angiography is the best noninvasive diagnostic method due to its high sensitivity. In this article, a 16-year-old male patient diagnosed with stroke due to right internal carotid artery dissection is presented. The aim of this case report is to draw attention to the fact that even sudden braking on a motorcycle may cause arterial dissection in patients admitted to hospital due to lack of consciousness.

___

  • 1.Leys D, Bandu L, Henon H, et al., Clinical outcome in287 consecutive young adults (15 to 45 years) with ischemic stroke. Neurology 2002;59(1):26–33.
  • 2.Server A, Dullerud R, Haakonsen M, Nakstad PH, Johnsen UL, Magnaes B. Post traumatic cerebral infarction. Neuroimaging findings, etiology and outcome. Acta Radiol 2001; 42(3): 254-60.
  • 3.Yang ST, Huang YC, Chuang CC, Hsu PW. Traumaticinternal carotid artery dissection. J Clin Neurosci 2006; 13(1):123–128.
  • 4. Caso V, Paciaroni M, Bogousslavsky J. Environmental factors and cervical artery dissection. Front Neurol Neurosci 2005; 20:44–53.
  • 5.Mutze S, Rademacher G, Matthes G, Hosten N, Stengel D. Blunt cerebrovascular injury in patients with blunt multiple trauma: diagnostic accuracy of duplex Doppler US and early CT angiography. Radiology 2005; 237(3):884–92.
  • 6.Okada Y, Shima T, Nishida M, Yamane K, Kagawa R.Traumatic dissection of the common carotid artery after blunt injury to the neck. Surg Neurol 1999; 51(5):513-9.
  • 7.Kindelberger D, Gilmore K, Catanese CA, Armbrustmacher VW. Hyperextension and rotation of head causing internal carotid artery laceration with basilar subarachnoid hematoma. J Forensic Sci 2003; 48(6):1366-8.
  • 8.Debette S, Leys D. Cervical-artery dissections: predisposing factors, diagnosis, and outcome. Lancet Neurol 2009; 8(7):668–78.