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Minim Invasive Neurosurg 2007; 50(2): 115-119
DOI: 10.1055/s-2007-984381
Case Report

© Georg Thieme Verlag KG Stuttgart · New York

Endovascular Stent Placement of Cervical Internal Carotid Artery Dissection Related to a Seat-Belt Injury: A Case Report

N. Nakagawa 1 , F. Akai 1 , N. Fukawa 1 , H. Yugami 1 , A. Kimoto 1 , S. Majima 1 , M. Taneda 1
  • 1Department of Neurosurgery, Kinki University School of Medicine, Osakasayama, Japan
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Publication History

Publication Date:
03 August 2007 (online)

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Abstract

Object: The incidence of carotid artery dissection related to blunt injury is very low, but the mortality rate is high. Rapid diagnosis and proper treatments are discussed.

Clinical Presentation: A 48-year-old woman presented diplopia and pulsating tinnitus of the left ear. An angiography showed a carotid cavernous fistula (CCF) and dissection of the extra-cranial internal carotid artery (ICA). To treat the dissection, a self-expanding endovascular stent was used. She has been followed for 6 years without any event and the ICA is patent.

Conclusion: Prompt diagnosis without delay and intimate follow-up is the key for the treatment of a carotid injury. Those patients who exhibit cervical bruits and/or seat-belt signs should be examined aggressively. Angioplasty with stents is amenable for patients with traumatic carotid dissections requiring vascular reconstruction in the acute stage.

Key words

Seat-belt injury - carotid artery dissection - stent - carotid cavernous fistula

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Correspondence

N. NakagawaMD 

Department of Neurosurgery

Kinki University School of Medicine

377-2 Ohnohigashi

Osakasayama-shi

589-8511 Osaka

Japan

Phone: +81/072/366 02 21

Fax: +81/072/365 69 75

Email: nakkan@neuro-s.med.kindai.ac.jp