Posterior reversible encephalopathy syndrome in a context of isolated cervical spine fracture: CT angiogram as an early detector of blunt carotid artery trauma - 07/06/11
, M. Soubeyrand, C. Vincent, V. Molina, C. Court
Corresponding author. Tel.: +33 63 44 87 21 5; fax: +33 14 41 23 43 6.
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Summary |
Blunt carotid injury associated with cervical spine fractures is a rare entity but potentially lethal. An initial, clinically silent period can be misleading. Prompt diagnosis and treatment are mandatory to avoid neurological damages and death. We present the case of a 36-year-old man diagnosed with an isolated cervical spine fracture, where an associated carotid artery lesion was initially overlooked and diagnosis was made after development of a neurological deterioration secondary to a posterior reversible encephalopathy syndrome (PRES). We discuss a simple algorithm that can be used to make the diagnosis, even during the clinically asymptomatic period of this injury.
Le texte complet de cet article est disponible en PDF.Keywords : Carotid dissection, Cervical fracture, Angiography, Computed tomography, Posterior reversible encephalopathy syndrome
Plan
Vol 97 - N° 4
P. 454-458 - juin 2011 Retour au numéro
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