Bilateral internal carotid and vertebral artery dissection after a horse-riding injury

Zeid M Keilani, John D Berne, Mouchammed Agko

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Blunt cerebrovascular injuries, defined as blunt injuries to the internal carotid or vertebral arteries, are uncommon and usually occur in victims of high-speed deceleration motor vehicle crashes. A blunt cerebrovascular injury after an equestrian accident is an extremely unusual presentation. In recent years, advances in screening and treatment with pharmacologic anticoagulation before the onset of neurologic symptoms have improved outcomes for these patients. Endovascular stenting and embolization, although unproven, offer a new potential approach for these complex injuries. We present a unique case of four-vessel blunt cerebrovascular injuries after a horse-riding injury that required multidisciplinary management.

Original languageEnglish (US)
Pages (from-to)1052-7
Number of pages6
JournalJournal of Vascular Surgery
Volume52
Issue number4
DOIs
StatePublished - Oct 2010

Keywords

  • Animals
  • Anticoagulants/therapeutic use
  • Athletic Injuries/complications
  • Brain Ischemia/etiology
  • Carotid Artery, Internal, Dissection/diagnostic imaging
  • Combined Modality Therapy
  • Embolization, Therapeutic
  • Female
  • Horses
  • Humans
  • Magnetic Resonance Angiography
  • Middle Aged
  • Platelet Aggregation Inhibitors/therapeutic use
  • Stents
  • Stroke/etiology
  • Thoracic Injuries/complications
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vertebral Artery Dissection/diagnostic imaging
  • Wounds, Nonpenetrating/complications

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