• Carotid artery dissection begins as a tear in one of the carotid arteries of the neck, which allows blood under arterial pressure to enter the wall of the artery and split its layers. (medscape.com)
  • Carotid artery dissection is a significant cause of ischemic stroke in all age groups, but it occurs most frequently in the fifth decade of life and accounts for a much larger percentage of strokes in young patients. (medscape.com)
  • [ 1 ] Dissection of the internal carotid artery can occur intracranially or extracranially, with the latter being more frequent. (medscape.com)
  • Internal carotid artery dissection can be caused by major or minor trauma, or it can be spontaneous, in which case, genetic, familial, or heritable disorders are likely etiologies. (medscape.com)
  • Once diagnosed and treated, patients with carotid artery dissection require regular follow-up and imaging studies of both carotid arteries. (medscape.com)
  • It is widely accepted that carotid artery dissection is a multifactorial disease. (medscape.com)
  • Carotid artery dissection begins as a tear in the tunica intima or directly within the tunica media (possibly originating from the vasa vasorum). (medscape.com)
  • [ 1 , 2 ] The dilatation resulting from an internal carotid artery dissection may be termed a true rather than a false aneurysm because the wall is composed of blood vessel elements. (medscape.com)
  • Carotid artery dissection is a separation of the layers of the artery wall supplying oxygen-bearing blood to the head and brain and is the most common cause of stroke in young adults. (wikipedia.org)
  • Dissection may occur after physical trauma to the neck, such as a blunt injury (e.g. traffic collision), strangulation, but can also happen spontaneously. (wikipedia.org)
  • Once considered uncommon, spontaneous carotid artery dissection is an increasingly recognized cause of stroke that preferentially affects the middle-aged. (wikipedia.org)
  • The incidence of spontaneous carotid artery dissection is low, and incidence rates for internal carotid artery dissection have been reported to be 2.6 to 2.9 per 100,000. (wikipedia.org)
  • Observational studies and case reports published since the early 1980s show that patients with spontaneous internal carotid artery dissection may also have a history of stroke in their family and/or hereditary connective tissue disorders, such as Marfan syndrome, Ehlers-Danlos syndrome, autosomal dominant polycystic kidney disease, pseudoxanthoma elasticum, fibromuscular dysplasia, and osteogenesis imperfecta type I. IgG4-related disease involving the carotid artery has also been observed as a cause. (wikipedia.org)
  • Internal carotid artery dissection can also be associated with an elongated styloid process (known as Eagle syndrome when the elongated styloid process causes symptoms). (wikipedia.org)
  • Carotid artery dissection is thought to be more commonly caused by severe violent trauma to the head and/or neck. (wikipedia.org)
  • Sports-related activities such as surfing and Jiu-Jitsu have been reported as causes of carotid artery dissection. (wikipedia.org)
  • Artery dissection has also been reported in association with some forms of neck manipulation. (wikipedia.org)
  • Arterial dissection of the carotid arteries occurs when a small tear forms in the innermost lining of the arterial wall (known as the tunica intima). (wikipedia.org)
  • Blood clots, or emboli, originating from the dissection are thought to be the cause of infarction in the majority of cases of stroke in the presence of carotid artery dissection. (wikipedia.org)
  • In one study of patients with carotid artery dissection, 60% had infarcts documented on neuroimaging. (wikipedia.org)
  • Ally's mission is prevention - raising awareness for Carotid Artery Dissection, Traumatic Brain Injury and Stroke Prevention! (coolibar.com)
  • Boxers have died during a bout or in the immediate aftermath due to traumatic brain injuries (TBIs) such as an acute subdural hematoma (SDH), epidural hematoma (EDH), subarachnoid hemorrhage (SAH), intracranial hematoma and injury to the great vessels of the neck such as carotid or vertebral artery dissection. (lifesitenews.com)
  • Digital subtraction angiography (DSA) showed a left petrocavernous internal carotid artery dissection (ICAD). (bmj.com)
  • B) Fifth DSA (5 days after coiling), lateral view: 5 mm residual sac developing along the medial aspect of the coiled PA (red arrow) with extension of the left intracranial carotid artery dissection up to the ICA terminus (green arrow). (bmj.com)
  • Intracranial Vessel Wall Magnetic Resonance Imaging of Middle Cerebral Artery Dissection in Neurofibromatosis Type 1. (medscape.com)
  • A) Tear and elevation of intima from wall of artery, resulting in luminal stenosis. (medscape.com)
  • Simultaneously, CT angiography showed stenosis of the right internal carotid artery (ICA), but cerebral blood flow remained normal ( figure 1 ). (bmj.com)
  • B) CT angiography shows stenosis of the right internal carotid artery (ICA) (black arrow) and a patent left ICA. (bmj.com)
  • Should patients with asymptomatic carotid artery stenosis undergo carotid procedures, or does medical therapy provide sufficient protection against stroke? (medscape.com)
  • Physicians in the Department of Neurology at TTP El Paso specialize in treating a wide variety of critical neurological conditions, including stroke, cerebral hemorrhage, carotid artery stenosis and transient ischemic attack. (ttpelpaso.com)
  • Carotid artery stenosis is a chronic atherosclerotic disease resulting in narrowing of the common and internal carotid arteries. (lecturio.com)
  • Carotid artery stenosis is commonly diagnosed via carotid duplex ultrasound. (lecturio.com)
  • The most serious complication of carotid artery stenosis is stroke. (lecturio.com)
  • Carotid Artery Stenosis is a narrowing of the common and internal carotid arteries Arteries Arteries are tubular collections of cells that transport oxygenated blood and nutrients from the heart to the tissues of the body. (lecturio.com)
  • The purpose of this study was to clarify the criteria for initial treatment of chronic subdural hematoma (CSDH) by com-paring the backgrounds and post-treatment courses of patients who underwent drainage or middle meningeal artery (MMA) emboliza-tion for CSDH. (go.jp)
  • The young child was initially evaluated with a color flow ultrasonography Doppler imaging which revealed a left neck haematoma, a pseudo aneurysm of the left common carotid artery (LCCA), and a continuous flow from the LCCA to the left internal jugular vein (LIJV) which was indicative for the presence of a carotid-jugular fistula. (scirp.org)
  • A, B) Anteroposterior view (A) and lateral view (B) show near occlusion of the right internal carotid artery (ICA) (black arrows). (bmj.com)
  • This study aimed to investigate whether resuscitation after a hemorrhagic shock (HS) and/or mild cerebral ischemia caused by a unilateral common carotid artery occlusion (UCCAO) can cause brain injury and concomitant neurological dysfunction, and explore the potential mechanisms. (medsci.org)
  • Evaluation of a Traumatic Vertebral Artery Occlusion. (com.pk)
  • The mechanism of action of Sanhua Decoction (SHD) in the treatment of ischemic stroke (IS) was analyzed based on the network pharmacology technology, and the pharmacodynamics and key targets were verified using the rat middle cerebral artery occlusion (MCAO) model. (hindawi.com)
  • After such an injury, the patient may remain asymptomatic, have a hemispheric transient ischemic event, or have a stroke. (wikipedia.org)
  • However, when blood clots form and break off from the site of the tear, they form emboli, which can travel through the arteries to the brain and block the blood supply to the brain, resulting in an ischaemic stroke, otherwise known as a cerebral infarction. (wikipedia.org)
  • We are renowned for providing specialised care when it comes to stroke, head & spinal injuries, brain tumors, seizure disorders, movement disorders and headaches. (apollohospitals.com)
  • She survived a stroke and three traumatic brain injuries. (coolibar.com)
  • It is with heavy hearts that we confirm the passing today of Katie May - mother, daughter, sister, friend, businesswoman, model and social media star - after suffering a catastrophic stroke caused by a blocked carotid artery on Monday," the statement reads. (scienceblogs.com)
  • Doing that allowed me to construct a timeline, which leaves open the biggest question: Was it May's neck injury or the chiropractic adjustments that caused the stroke that killed her? (scienceblogs.com)
  • Does prior traumatic brain injury increase the long-term risk of stroke? (medscape.com)
  • This can include seizures, stroke, traumatic brain injury and more. (ttpelpaso.com)
  • Skipping one commonly taken step during a routine procedure to insert a wire mesh stent into a partially blocked carotid artery appears to prevent patients from developing dangerously low blood pressure, an extremely slow heart rate or even a stroke or heart attack, reveal John Hopkins surgeons. (medindia.net)
  • As part of his study, Malas also looked at data from a past study of more than 1,000 patients undergoing carotid stenting, which also hinted that post-stent ballooning increases the risk of stroke. (medindia.net)
  • Computed Tomography Angiography (CTA) showed Right common carotid (CCA) artery injury with associated post-traumatic pseudoaneurysm. (bvsalud.org)
  • However, doctors should be alert to this possibility in the case of massive post-traumatic or postoperative bleeding. (amjcaserep.com)
  • Penetrating neck injuries are uncommon in children and a post traumatic common carotid artery to internal jugular vein fistula rarely occurs. (scirp.org)
  • Subsequently a magnetic resonance angiography confirmed the diagnosis and allowed the precise evaluation of the post-traumatic fistula between the LCCA and the LIJV. (scirp.org)
  • A) Schematic representation of the post-traumatic ICAD suffering external compression (black arrows) from skull-base fractures and cerebral oedema from coexisting ischaemia/traumatic brain injury resulting in high ICPs. (bmj.com)
  • Iatrogenic and post traumatic cases are the most common cause[1]. (ijmpr.in)
  • Identifying individuals with undiagnosed post-traumatic stress disorder in a large United States civilian population - a machine learning approach. (cdc.gov)
  • Chronic Traumatic Encephalopathy (CTE) Chronic traumatic encephalopathy (CTE) is a progressive degenerative brain disorder that may occur after repetitive head trauma or blast injuries. (msdmanuals.com)
  • Blunt cerebrovascular injury (BCVI) is found in 1-2.7% of all blunt trauma when appropriate screening criteria are employed. (openneuroimagingjournal.com)
  • Numerous lawsuits have been filed in the past few years against colleges and professional sports leagues and conferences alleging negligence over the handling of head trauma injuries of players involved in sports. (straffordpub.com)
  • Mechanism of trauma, type of injury and angiographic findings were recorded in a questionnaire for each patient. (ac.ir)
  • METHODS: Retrospective review (2017-2022) of records at a Level I trauma center to determine injury, treatment, and outcome information. (bvsalud.org)
  • This air rifle injury has resulted in a penetrating neck trauma traversing the common carotid artery. (bvsalud.org)
  • A maxillary artery hemorrhage occurred after multiple craniofacial trauma including bilateral fracture of the condylar processes and treatment with intravascular embolization. (amjcaserep.com)
  • 1-16 In 1991, we briefly described the sites of injury and standard of care in 97 claims for airway trauma in a review of adverse respiratory events in the American Society of Anesthesiologist (ASA) Closed Claims database. (asahq.org)
  • Some experts in the field of trauma assert that physical examination alone is sufficient to assess zone II for injury, while others believe that diagnostic testing is mandatory. (medscape.com)
  • A single examination is not sufficient, because the onset of signs of injury may be delayed and progressive with neck trauma. (medscape.com)
  • About 50% of cases of penetrating neck trauma in which the platysma is violated have no further injury. (medscape.com)
  • A unique case of penetrating neck and cervical spine trauma resulting in vertebral artery transection and internal carotid artery laceration. (com.pk)
  • Blunt trauma to the carotid arteries. (westerntrauma.org)
  • Ramadan F, Rutledge R, Oller D, Howell P, Baker C, Keagy B. Carotid artery trauma: a review of contemporary trauma center experiences. (westerntrauma.org)
  • Delayed presentation of carotid intimal tear following blunt craniocervical trauma. (westerntrauma.org)
  • Mutze S, Rademacher G, Matthes G, Hosten N, Stengel D. Blunt cerebrovascular injury in patients with blunt multiple trauma: diagnostic accuracy of duplex Doppler US and early CT angiography. (westerntrauma.org)
  • A primary survey Primary Survey Thoracic Trauma in Children is the initial evaluation used to identify and manage life-threatening injuries in a trauma patient. (lecturio.com)
  • There are 1176 new billable healthcare codes in the ICD-10-CM code system for 2023 , covering dementia, social determinants of health (SDoH), head injury and therapy for prolonged drug use, pregnancy, endometriosis, and maternal care. (practolytics.com)
  • Pseudo-aneurysms from branches of thyro-cervical trunk and external carotid artery lie in deep tissues of the neck. (ijmpr.in)
  • We report a case of a 30 year old male with two pseudo-aneurysms arising from a branch of thyro-cervical trunk and external carotid artery with concomitant arteriovenous fistula following stab wound injury to the left side of neck. (ijmpr.in)
  • The blood supply of the tongue originates from the external carotid artery, and the innervation is through cranial nerves. (lecturio.com)
  • Traumatic brain injury (TBI) is physical injury to brain tissue that temporarily or permanently impairs brain function. (msdmanuals.com)
  • Surgery is often needed in patients with more severe injury to place monitors to track and treat intracranial pressure elevation, decompress the brain if intracranial pressure is increased, or remove intracranial hematomas. (msdmanuals.com)
  • In the first few days after the injury, maintaining adequate brain perfusion and oxygenation and preventing complications of altered sensorium are important. (msdmanuals.com)
  • Sports-Related Concussion Sports activities are a common cause of concussion, a form of mild traumatic brain injury. (msdmanuals.com)
  • Open head injuries involve penetration of the scalp and skull (and usually the meninges and underlying brain tissue). (msdmanuals.com)
  • Closed head injuries typically occur when the head is struck, strikes an object, or is shaken violently, causing rapid brain acceleration and deceleration. (msdmanuals.com)
  • This CLE course will address class and individual litigation strategies being used in sports-related concussion lawsuits against professional teams, colleges, sports leagues and conferences, high schools and youth organizations, and equipment manufacturers seeking significant compensation for players who sustained brain injuries while playing sports. (straffordpub.com)
  • ABSTRACTObjective: To determine the effects of glycemic level on outcome patients with traumatic brain injury.Methods: From September 2010 to December 2012, all medical records of adult patients with TBI admitted to the Emergency Room of Laura Daniela Clinic in Valledupar City, Colombia, South America were enrolled. (ac.ir)
  • So hyperglycemia handling is critical to the outcome of patients with traumatic brain injury. (ac.ir)
  • When combined with an HS, an UCCAO is associated with ischemic neuronal injury in the ipsilateral hemisphere of adult rat brain, which can be attenuated by therapeutic hypothermia. (medsci.org)
  • We present a case of a patient with a nail-gun injury to the brain, which compromised the cerebral vasculature. (surgicalneurologyint.com)
  • Intracranial nail-gun injuries are a rare but well-characterized cause of penetrating brain injury. (surgicalneurologyint.com)
  • see Guidelines for the Management of Pediatric Severe Traumatic Brain Injury, Third Edition . (neurosurgery.directory)
  • New level II and level III evidence-based recommendations and an algorithm provide additional guidance for the development of local protocols to treat pediatric patients with severe traumatic brain injury. (neurosurgery.directory)
  • used database research to evaluate admission clinical and CT scan characteristics for use as a decision tool to help clinicians caring for children with very severe traumatic brain injury. (neurosurgery.directory)
  • Greenan K, Taylor SL, Fulkerson D, Shahlaie K, Gerndt C, Krueger EM, Zwienenberg M. Selection of children with ultra-severe traumatic brain injury for neurosurgical intervention. (neurosurgery.directory)
  • Age and Mortality in Pediatric Severe Traumatic Brain Injury: Results from an International Study. (neurosurgery.directory)
  • None more so than vocalist Madison Watkins who suffered a traumatic brain injury. (massmovement.co.uk)
  • We were in a terrible accident in Salt Lake City that left me concussed, Aaron with a broken femur and severed carotid artery, Andy with broken ankles, and Madi breaking almost everything and a traumatic brain injury. (massmovement.co.uk)
  • MRI of the brain demonstrated multiple embolic infarcts in the left middle cerebral artery (MCA) territory, despite therapeutic anticoagulation with heparin. (bmj.com)
  • TFESI is associated with more risks of the spinal cord or brain infarction, because the needle targets the neural foramen in the vicinity of the vertebral and radiculomedullary arteries [ 6 ]. (e-arm.org)
  • Many of the people I have taken care of had very intense, lengthy and invasive procedures , such as removal of obstructions to the carotid artery, removal of brain tumors, or kidney transplants. (progressivemaryland.org)
  • Another type of specialty I have worked in is caring for those having neurologic syndromes, such as acute strokes and traumatic brain injuries. (progressivemaryland.org)
  • I have a traumatic brain injury, or TBI, caused by an aneurysm in June of 2006. (dakotaorganics.net)
  • Neuro-Critical Care is a subspecialty that involves the multi-system treatment of critical injuries affecting the brain, spinal cord and nervous system. (ttpelpaso.com)
  • Carotid stents are designed to open up the neck arteries, which carry oxygen-rich blood from the heart to the brain but have been narrowed over time by a buildup of cholesterol, fat and other substances that stick to blood vessel walls. (medindia.net)
  • Malas says he also believes post-stent ballooning wreaks havoc on blood pressure and heart rate, because the pressure of the post-stent balloon on the artery sends confusing signals to the brain. (medindia.net)
  • The receptors around the carotid artery falsely sense that blood pressure is high, so they send signals to the brain, which in turn sends signals to the heart to slow down and to the peripheral small arteries to dilate. (medindia.net)
  • Angiography of the right ICA showed a severely stenotic but intact lumen of the artery, and we decided to perform endovascular carotid artery stenting. (bmj.com)
  • Cerebral angiography before and after endovascular carotid artery stenting. (bmj.com)
  • Antithrombotic therapy and endovascular stents are effective treatment for blunt carotid injuries: results from longterm followup. (westerntrauma.org)
  • The probable mechanism of injury for most internal carotid injuries is rapid deceleration, with resultant hyperextension and rotation of the neck, which stretches the internal carotid artery over the upper cervical vertebrae, producing an intimal tear. (wikipedia.org)
  • The patient showed cervical cord injury classified as American Spinal Injury Association Impairment scale A and underwent emergency surgical vertebroplasty. (bmj.com)
  • To suggest rotation angles of fluoroscopy that can bypass the carotid sheath according to vertebral levels for cervical transforaminal epidural steroid injection (TFESI). (e-arm.org)
  • The risk of causing injury by penetrating major vessels in the carotid sheath tends to increase at upper cervical levels. (e-arm.org)
  • Therefore, prior to cervical TFESI, measuring the angle is necessary to avoid carotid vessels in the axial section of CT or MRI, thus contributing to a safer procedure. (e-arm.org)
  • Cervical radicular pain can develop following irritation and/or injury of a cervical spinal nerve that induces inflammation [ 2 , 3 ]. (e-arm.org)
  • During cervical TFESI, the needle should be guided to the posterior aspect of neural foramen under fluoroscopy (C-arm) so as to prevent injury to the vertebral artery [ 13 , 14 ]. (e-arm.org)
  • Interestingly, a meta-analysis of nine screening criteria (most of which appear in the Denver and Memphis criteria) found that only cervical and thoracic spine injuries had a statistically significant association with BCVI 19 . (emdocs.net)
  • Computed tomographic angiography for the diagnosis of blunt cervical vascular injury: is it ready for primetime? (westerntrauma.org)
  • Cervical spine fracture patterns predictive of blunt vertebral artery injury. (westerntrauma.org)
  • An UCCAO caused a slight cerebral ischemia (cerebral blood flow [CBF] 70%) without hypotension (MABP 85 mmHg), systemic inflammation, multiple organs injuries, or neurological injury. (medsci.org)
  • However, combined an UCCAO and an HS caused a severe cerebral ischemia (18% of the original CBF levels), a moderate hypotension (MABP downed to 17 mmHg), systemic inflammation, peripheral organs damage, and neurological injury, which can be attenuated by whole body cooling. (medsci.org)
  • A resuscitation from an HS regards as a reperfusion insult which may induce neurological injury in patients with an UCCAO disease. (medsci.org)
  • However, it is not known whether resuscitation after a [ 10 - 12 ] HS can cause cerebral injury and concomitant neurological dysfunction, and its potential mechanisms. (medsci.org)
  • These sports carry an exceedingly high risk for both acute and chronic neurological injuries. (lifesitenews.com)
  • The interval from injury to neurological deficit onset typically has a latency period of 10-72 hours. (emdocs.net)
  • An estimated 0.67% of patients admitted to the hospital after major motor vehicle accidents were found to have blunt carotid injury, including intimal dissections, pseudoaneurysms, thromboses, or fistulas. (wikipedia.org)
  • Follow-up DSA 1 week later showed bilateral multifocal internal carotid artery (ICA) and vertebral artery dissections, bilateral direct CCFs and cavernous ICA PAs. (bmj.com)
  • Table 2 highlights the common signs and symptoms amongst patients with dissections of either the carotid or basilar artery 1 and tables 3 and 4 outline the Denver and Memphis BCVI screening criteria 5 . (emdocs.net)
  • Extracranial internal carotid artery dissections: noniatrogenic traumatic lesions. (westerntrauma.org)
  • B) MR angiography shows a defect in the flow signal of the right internal carotid artery (white arrows) with preservation of the right middle cerebral artery. (bmj.com)
  • In the medial aspect, the lesser wing of the sphenoid forms the anterior clinoid process, an important landmark for the optic nerve and supracavernous internal carotid artery (ICA). (medscape.com)
  • Further, plaintiffs claim defendants failed to warn players of risks involved with head injuries, possibly resulting in chronic traumatic encephalopathy. (straffordpub.com)
  • Penetrating nail-gun injuries to the head are rare, however, the incidence has been gradually rising over the last decade. (surgicalneurologyint.com)
  • In this article, we present the case, incidence, pathology, and a brief literature review of penetrating nail-gun injuries to highlight the principles of management pertaining to penetration of cerebrovascular structures. (surgicalneurologyint.com)
  • Reported incidence, or diagnosis, of BCVI is partly dependent on the predetermined screening criteria, such as the Denver Criteria (Table 3) and the Memphis Criteria (Table 4), which take into consideration the mechanism and associated injuries that trigger screening. (emdocs.net)
  • Incidence of unsuspected blunt carotid artery injury. (westerntrauma.org)
  • Fifty one cases were treated under open surgery and amputation of traumatic limb was done for 13 patients. (ac.ir)
  • Reporting on results of a small study described online in the Journal of Vascular Surgery , the surgeons say inflating a balloon inside the artery after placing the stent greatly increases patients' risk of serious complications. (medindia.net)
  • Stents to keep blocked carotid arteries open are not as effective as surgery in preventing strokes, but nevertheless are associated with a lower rate of heart attacks, researchers said Monday. (medindia.net)
  • The occurrence, growth, thrombosis, and even rupture of intracranial saccular aneurysms can be explained by abnormal hemodynamic shear stresses on the walls of large cerebral arteries, particularly at bifurcation points. (medscape.com)
  • They typically involve bullets or sharp objects, but a skull fracture with overlying laceration due to severe blunt force is also considered an open injury. (msdmanuals.com)
  • Intraoperatively removal of the foreign body demonstrated a laceration to the M1 branch of the middle cerebral artery (MCA), which was successfully repaired. (surgicalneurologyint.com)
  • Aneurysm is an abnormal local dilatation in the wall of a blood vessel, usually an artery, due to a defect, disease, or injury. (medscape.com)
  • Arteries: Histology (ICAs) secondary to atherosclerosis Atherosclerosis Atherosclerosis is a common form of arterial disease in which lipid deposition forms a plaque in the blood vessel walls. (lecturio.com)
  • INJURIES to the airway are a well-recognized complication of anesthesia. (asahq.org)
  • After the procedure, angiography of the common carotid artery revealed recovery of anterograde blood flow in the right ICA ( figure 3 ). (bmj.com)
  • B) Third digital subtraction angiography (1 week from injury), lateral view: left ICAD extending from the precavernous ICA (arrowhead) to the supraclinoid segment (green arrow) with a 7 mm dissecting PA directed anterosuperiorly (red arrow) at the junction of the petrous and precavernous ICA with contrast percolation from the posterior genu forming a direct CCF (blue arrow). (bmj.com)
  • Computed Tomography (CT) scan, and CT angiography revealed a curve-shaped metallic object lodged in the right side of his neck, with no evidence of vascular injury. (com.pk)
  • Utility of screening for blunt vascular neck injuries with computed tomographic angiography. (westerntrauma.org)
  • Sixteen-slice multi-detector computed tomographic angiography improves the accuracy of screening for blunt cerebrovascular injury. (westerntrauma.org)
  • Sixteen-slice computed tomographic angiography is a reliable noninvasive screening test for clinically significant blunt cerebrovascular injuries. (westerntrauma.org)
  • The main causes of pseudoaneurysms in the head and neck area are associated with blunt or penetrating injuries in this area or are iatrogenic, originating during surgical procedures. (amjcaserep.com)
  • The presentation, diagnostic procedures and surgical management of this very rare injury are discussed. (scirp.org)
  • Penetrating neck injuries caused by gun screws and other foreign objects can be challenging to manage and require prompt surgical intervention. (com.pk)
  • An Audit of Surgical Neck Explorations for Penetrating Neck Injuries in Northwestern Nigeria: Experience from a Teaching Hospital. (com.pk)
  • Patients are typically referred for a carotid stent when they have a blockage of 70 percent or more in the carotid artery and would be unsuitable candidates for a surgical procedure that involves cutting open the artery and removing the buildup. (medindia.net)
  • While there is a large volume of case reports in the literature, there are only a few incidences of cerebrovascular injury. (surgicalneurologyint.com)
  • What is Blunt Cerebrovascular Injury? (emdocs.net)
  • Berne JD, Norwood SH, McAuley CE, Vallina VL, Creath RG, McLarty J. The high morbidity of blunt cerebrovascular injury in an unscreened population: more evidence of the need for mandatory screening protocols. (westerntrauma.org)
  • The lawsuits allege that coaches and trainers are not trained to spot symptoms of concussions and allowed players to continue to play despite multiple head injuries. (straffordpub.com)
  • [ 1 ] The blood dissects along the artery to create an intramural hematoma that leads to a thrombus, which can narrow the carotid artery lumen and become a nidus for distal embolization (see the image below). (medscape.com)
  • Carotid artery disease is estimated to contribute to 20 percent of ischemic strokes, by far the most common type. (medindia.net)
  • To our knowledge, this is the first reported case of a vascular arterial injury to the MCA from a nail-gun injury. (surgicalneurologyint.com)
  • Consider an arterial injury of the neck in patients manifesting any degree of gross bleeding or presence of a hematoma. (medscape.com)
  • Hard signs of an arterial injury include a large expanding hematoma, severe active or pulsatile bleeding, shock unresponsive to fluids, signs of cerebral infarction, presence of a bruit or thrill, and diminished distal pulses. (medscape.com)
  • Virtually all patients with hard signs of an arterial injury require operative repair. (medscape.com)
  • Soft signs, such as a nonexpanding hematoma and paresthesias, do not improve the predictive value of an arterial injury more than indicating the proximity of the wound to a major vessel. (medscape.com)
  • A) Fourth DSA (8 days from injury), lateral view: coil embolisation of the PA achieved after placement of a Wingspan stent (from the petrous ICA to the distal cavernous ICA) through a scaffold created by placing an LVIS Jr. stent at the anterior genu. (bmj.com)
  • Malas and his team analyzed data from 103 patients who underwent placement of a carotid stent between 2005 and 2012 at the Johns Hopkins Bayview Medical Center. (medindia.net)
  • Asahi Intecc Co., Aichi, Japan) was introduced into the common carotid artery. (bmj.com)
  • Penetrating neck injuries caused by firearms are relatively common, but injuries caused by objects other than bullets are rare. (com.pk)
  • Sun DF, Liang C, Zhang SX, Yuan TJ, Chen Y. Open neck injury with common carotid artery penetrating injury caused by gun screw: a case report. (com.pk)
  • C) Postdeployment of a 3.5×23.0 mm LVIS Jr. stent (dotted line) placed from the left M1 middle cerebral artery up to the dural junction of the left ICA (green arrow). (bmj.com)
  • Impact of Carotid Stent Design on Embolic Filter Debris Load During Carotid Artery Stenting. (medscape.com)
  • Current standard practice by most physicians is to inflate the balloon to open up the artery before placing the carotid stent and again afterward. (medindia.net)
  • Placing a carotid stent is a minimally invasive procedure that involves threading a catheter from the groin area up to the site of the blockage in the neck. (medindia.net)
  • Physicians gently inflate a balloon in the area that is constricted to open the artery wide enough to safely insert the stent. (medindia.net)
  • I had to undergo a full craniotomy to repair damage to my carotid artery. (dakotaorganics.net)
  • Treatment-related outcomes from blunt cerebrovascular injuries: the importance of routine follow-up arteriography. (westerntrauma.org)
  • Prospective screening for blunt cerebrovascular injuries: analysis of diagnostic modalities and outcomes. (westerntrauma.org)
  • Screening for blunt cerebrovascular injuries is cost-effective. (westerntrauma.org)
  • Optimizing screening for blunt cerebrovascular injuries. (westerntrauma.org)
  • Noninvasive diagnosis of blunt cerebrovascular injuries: a preliminary report. (westerntrauma.org)
  • This year at least 50 additional class action suits are expected on behalf of tens of thousands of former athletes seeking recovery for concussion injuries. (straffordpub.com)
  • The lawsuits are targeting colleges, conferences, high schools, youth sports organizations, and equipment manufacturers on the basis of concussion injuries due to any and all contact sports, creating new legal challenges for class defense attorneys. (straffordpub.com)
  • What are the key hurdles for counsel pursuing or defending against class actions for sports concussion injuries? (straffordpub.com)
  • The characteristics as well as clinical findings were compared between those who were diagnosed to have arterial runoff ad those who did not.Results: One hundred and forty eight traumatic patients including 15 female with age range of 11-82 years and 133 men ranging from 25 to 40 years were enrolled. (ac.ir)
  • It is imperative to have a high clinical suspicion for cerebrovascular compromise in penetrating nail-gun injuries even when conventional imaging suggests otherwise. (surgicalneurologyint.com)
  • Despite the number of clinical challenges that they may present, a sound rational management strategy should permit most of these patients to be safely treated minimizing the risks of additional injury. (surgicalneurologyint.com)
  • This report demonstrates that primary repair of a traumatic injury to the arterial vasculature can be associated with good radiographic and clinical outcome. (surgicalneurologyint.com)
  • Value of clinical examination in the assessment of penetrating neck injuries: a retrospective study of diagnostic accuracy test. (com.pk)
  • Patients with less severe injuries may have no gross structural damage. (msdmanuals.com)
  • RESULTS: 96 patients suffered 106 injuries (74 BVI, 32 BCI). (bvsalud.org)
  • Airway injury during general anesthesia is a significant source of morbidity for patients and a source of liability for anesthesiologists. (asahq.org)
  • For patients with injuries due to hanging, try to determine the suspension time (when the patient was last seen), drop height, ligature used, history of alcohol or drug abuse, and history of suicide attempts. (medscape.com)
  • Aucune différence n'a été constatée entre le modèle de régression logistique et celui reposant sur un réseau de neurones artificiels en termes de performance de distinction entre sujets sains et patients présentant une altération de la tolérance au glucose ou un diabète. (who.int)
  • Although genetic conditions are associated with increased risk of aneurysm development (see Associated conditions), most intracranial aneurysms probably result from hemodynamically induced degenerative vascular injury. (medscape.com)
  • BACKGROUND: Air rifle injuries can cause significant vascular injuries. (bvsalud.org)
  • However, due to the proximity of the nail to the circle of Willis the operative approach was tailored in anticipation of a vascular injury. (surgicalneurologyint.com)
  • The presence of a pulse does not exclude a vascular injury, and absence of a pulse is not diagnostic of vascular damage. (medscape.com)
  • Penetrating neck injuries are uncommon in children, and they constitute a significant management challenge. (scirp.org)