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Articolul urmator |
207 2 |
Ultima descărcare din IBN: 2023-11-23 12:05 |
Căutarea după subiecte similare conform CZU |
616.133-005.6:618.14 (1) |
Patologia sistemului circulator, a vaselor sanguine. Tulburări cardiovasculare (975) |
SM ISO690:2012 CONDREA, Alexandra, BELITEI, Doina, ZOTA, Eremia, CRIVORUCICA, Igor, DURBAILOV, Sergiu. A case of carotid artery thrombosis caused by neck injury. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 283. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.133-005.6:618.14 | ||||||
Pag. 283-283 | ||||||
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Rezumat | ||||||
Introduction: Rarely, neck trauma may lead to ischemic stroke due to secondary carotid artery (CA) thrombosis. Aim of the study: We aimed to present the case of ischemic stroke after bilateral cervical injury caused by tiger bite. Material and Methods: History, clinical and paraclinical data were collected from the medical hospital databases. The patient was investigated by Doppler-Duplex examination of brachiocephalic vessels, brain computed tomography (CT), CT angiography of the cerebral arteries (CTA). The literature concerning similar cases has been revised. Results: A 58-year-old-man with no known vascular risk factor was admitted into the emergency hospital with bilateral cervical bite wounds and oropharynx injury after tiger attack. Neck spiral CT did not show arterial injury on admission time. After 72 hours, neurological examination revealed global aphasia and paralysis on right side. Brain CT scanning confirmed huge ischemic area extended throughout the left medial cerebral artery territory, with left hemispherical edema, compression, and displacement of the median structures. Doppler-Duplex examination of brachiocephalic vessels demonstrated presence of 50 mm floating thrombus in lumen of CCA, which extends from bifurcation to emergency of the internal CA. CTA demonstrated absent of blood flow of the left internal carotid artery. Anticoagulant therapy was prescribing. Due to severe brain damage patient remained with sever motor and cognitive deficit. Conclusions: Unfortunately, neck injury requires a multidisciplinary approach considering the causal connection between trauma and CA thrombosis and its cerebral consequences. |
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Cuvinte-cheie neck injury, carotid artery thrombosis, ischemic stroke, leziune cervicală, tromboza arterei carotide, accident vascular cerebral ischemic |
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