Traumatic Internal Carotid Artery Injuries: Do We Need a Screening Strategy? Literature Review, Case Report, and Forensic Evaluation

被引:5
作者
Maiese, Aniello [1 ,2 ]
Frati, Paola [2 ,3 ]
Manetti, Alice Chiara [1 ]
De Matteis, Alessandra [3 ]
Di Paolo, Marco [1 ]
La Russa, Raffaele [2 ,3 ]
Turillazzi, Emanuela [1 ]
Frati, Alessandro [2 ,4 ]
Fineschi, Vittorio [2 ,3 ]
机构
[1] Univ Pisa, Dept Surg Pathol, Med Mol & Crit Area, Inst Legal Med, I-56126 Pisa, PI, Italy
[2] IRCSS Neuromed Mediterranean Neurol Inst, Via Atinense 18, I-86077 Pozzilli, IS, Italy
[3] Sapienza Univ Rome, Dept Anat Histol Forens & Orthopaed Sci, Viale Regina Elena 336, I-00161 Rome, RM, Italy
[4] Sapienza Univ Rome, Human Neurosci Dept, Neurosurg Div, Rome, Italy
关键词
Internal carotid artery dissection; trauma; diagnostic screening; cervical trauma; neurological impairment; direct or indirect trauma; BLUNT CEREBROVASCULAR INJURY; ENDOVASCULAR TREATMENT; BILATERAL DISSECTION; STENT PLACEMENT; PSEUDOANEURYSM; DIAGNOSIS; MANAGEMENT; ULTRASOUND; THROMBOSIS; SECONDARY;
D O I
10.2174/1570159X19666210712125929
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Internal carotid artery dissection (ICAD) represents the cause of ictus cerebri in about 20% of all cases of cerebral infarction among the young adult population. ICAD could involve the extracranial and intracranial internal carotid artery (ICA). It could be spontaneous (SICAD) or traumatic (TICAD). It has been estimated that carotid injuries could complicate the 0,32% of cases of general blunt trauma and the percentage seems to be higher in cases of severe multiple traumas. TICAD is diagnosed when neurological symptoms have already occurred, and it could have devastating consequences, from permanent neurological impairment to death. Thus, even if it is a rare condition, a prompt diagnosis is essential. There are no specific guidelines regarding TICAD screening. Nevertheless, TICAD should be taken into consideration when a young adult or middle-aged patient presents after severe blunt trauma. Understanding which kind of traumatic event is most associated with TICAD could help clinicians to direct their diagnostic process. Herein, a review of the literature concerning TICAD has been carried out to highlight its correlation with specific traumatic events. TICAD is mostly correlated to motor vehicle accidents (94/227), specifically to car accidents (39/94), and to direct or indirect head and cervical trauma (76/227). As well, a case report is presented to discuss TICAD forensic implications.
引用
收藏
页码:1752 / 1773
页数:22
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