Post-traumatic dissection of the internal carotid artery associated with ipsilateral facial nerve paralysis: diagnostic and forensic issues
| Autor: | V. Scolan, F. Paysant, F. Makhlouf, O. Detante, L. Barret |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Horner Syndrome Facial Paralysis Horner syndrome Dissection (medical) Carotid Artery Internal Dissection Violence Pathology and Forensic Medicine Carotid artery dissection medicine.artery medicine Paralysis Humans cardiovascular diseases Stroke Internal carotid artery dissection business.industry Headache General Medicine Middle Aged medicine.disease Facial nerve Magnetic Resonance Imaging Surgery Female Internal carotid artery medicine.symptom business Law Magnetic Resonance Angiography |
| Zdroj: | Journal of forensic and legal medicine. 20(7) |
| ISSN: | 1878-7487 |
| Popis: | Traumatic internal carotid artery dissection may result from a direct blow to anterolateral aspect of the neck, or an extreme extension and rotation of the neck. Traumas involved are variable ranging from high speed motor vehicle accident to trivial traumas. The most frequent presentations of carotid artery dissection are stroke, Horner syndrome, and paralysis of a cranial nerve. Time of ischemic signs onset is very variable too, diverging from immediate to several months delay. We report the case of a 60-year-old woman, who was assaulted by a young man. Immediately, she complained of headache and posterior cervical pain. Three months later she developed a left hemifacial paralysis. MRI and MRA showed a dissection of the left internal carotid artery. The causal relationship between the trauma and the carotid artery dissection as well as forensic issues are discussed. |
| Databáze: | OpenAIRE |
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