Korean J Leg Med.  2001 Oct;25(2):48-52.

Traumatic Carotid Artery Thrombosis: An autopsy case

• Jo GR
• Kim KH

Abstract

Cerebral infarction caused by Carotid injury after blunt trauma to the head and neck is rare, but these injuries have high mortality. Recently we experienced a case of carotid artery occlusion probably related to the traffic accident. A 38-year-old man was motorcycling and was struck on the front of his motorcycle by a car. He sustained rib fractures and sprain of the neck, but there was no disturbance of consciousness or paresis of extremities. 16 days later, he developed right hemiparesis. CT scan revealed infarction in the distribution of the left middle cerebral artery territories, angiography revealed total thrombotic occlusion of the left internal carotid artery just distal to the bifurcation. He died 21 days after the accident, and the postmortem exam findings were concordant with clinical findings.

Keyword

Trauma; Carotid; Thrombus; Cerebral Infarction

MeSH Terms

Accidents, Traffic
Adult
Angiography
Autopsy*
Carotid Arteries*
Carotid Artery Thrombosis*
Carotid Artery, Internal
Cerebral Infarction
Consciousness
Extremities
Head
Humans
Infarction
Middle Cerebral Artery
Mortality
Motorcycles
Neck
Paresis
Rib Fractures
Sprains and Strains
Thrombosis
Tomography, X-Ray Computed