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
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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.
El texto completo de este artículo está disponible en PDF.Keywords : Carotid dissection, Cervical fracture, Angiography, Computed tomography, Posterior reversible encephalopathy syndrome
Esquema
Vol 97 - N° 4
P. 454-458 - juin 2011 Regresar al número
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