Coma et hémiplégie gauche post-traumatiques spontanément résolutifs
| Autor: | Thierry Roger, Jean Christophe Cavenaile, Philippe Lheureux, Jean Paul Brutus |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Carotid arteries Magnetic resonance imaging Dissection (medical) Critical Care and Intensive Care Medicine medicine.disease Surgery Diagnostic modalities Vehicle accident Anticoagulant therapy medicine Whiplash business Oral therapy |
| Zdroj: | Réanimation Urgences. 7:327-330 |
| ISSN: | 1164-6756 |
| Popis: | We relate here the case of a 31-year old woman who developed a bilateral dissection of the internal carotid arteries after a motor vehicle accident. After two weeks, she was transferred from Egypt where a hemiplegia due to a whiplash syndrome had been diagnosed. A bilateral dissection was suggested in this case by a color Doppler ultrasonography and was confirmed by a cerebral magnetic resonance imaging (MRI) followed by an angio-MRI. The patient's evolution was spontaneously favorable under intravenous anticoagulant treatment followed by oral therapy. Successive MRI exams showed a complete repermeabilisation of the two internal carotid arteries one month after the accident. The patient was discharged two months later with only a slight motor flexion deficit of the fourth left finger. The diagnostic modalities and management are discussed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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