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Traumatisk dissektion af arteria carotis interna
Engelsk titel: Traumatic dissection of the internal carotid artery Läs online Författare: Ellekvist MG ; Skraep Nielsen A Språk: Dan Antal referenser: 5 Dokumenttyp: Fallbeskrivning UI-nummer: 05041512

Tidskrift

Ugeskrift for Laeger 2005;167(14)1533-4 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

We report two cases of traumatic dissection and occlusion of the internal carotid artery after blunt head and neck injury. A diagnosis was made using MR and MR angiography, and any resulting brain ischemia was easily detected if present. Interestingly, imaging of the circulus arteriosus Willisii illustrated well the influence of anatomical variations in this anastomosing system on the risk of brain tissue ischemia following internal carotid dissection and occlusion. However, the symptoms and clinical signs of internal carotid dissection might be subtle, and the condition remains underdiagnosed.