Rifled carotid: Internal carotid artery thrombosis from prolonged carrying of a military rifle
| Autor: | Faiz MH Ahmad, S K Nanda, S R, D S Grewal |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Weakness Firearms Carotid internal 03 medical and health sciences 0302 clinical medicine Medicine Humans Rifle 030212 general & internal medicine Carotid Artery Thrombosis Ultrasonography Doppler Color Military Medicine Neck pain Neck Pain business.industry Anticoagulants 030208 emergency & critical care medicine General Medicine Cerebral Infarction medicine.disease Thrombosis Surgery Carotid Arteries Military Personnel Blunt trauma Presentation (obstetrics) medicine.symptom business |
| Zdroj: | Journal of the Royal Army Medical Corps. 165(6) |
| ISSN: | 2052-0468 |
| Popis: | BackgroundTraumatic carotid artery thrombosis is uncommon and it usually results from penetrating injuries and less commonly secondary to blunt trauma. It can lead to delayed clinical presentation, which leads to delay in the diagnosis. Soldiers in combat scenario also can present with such an illness, which results from varied modes of injuries. Our case illustrates an unusual cause of carotid thrombosis.Case presentationOur patient is a 37-year-old soldier who developed neck pain and headache following a 5 km training run with rifle on the shoulder and subsequently developed left upper limb weakness and evaluation revealed extracranial right internal carotid thrombosis. He was managed with anticoagulants and antiplatelets with complete resolution of the thrombosis and complete recovery of the weakness.ConclusionBlunt trauma to the neck in the form of carrying a rifle for a prolonged duration can result in injury to the carotid vessels leading to delayed neurological presentation. Educating the troops regarding such a mode of illness will prevent such a catastrophic nature of vascular injury resulting in ischaemic stroke. |
| Databáze: | OpenAIRE |
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