A case of blunt left common carotid artery occlusion with right high rib fractures and transverse process fracture of the cervical spine

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  • Tanaka Yasutaka
    Department of Emergency and Critical Care Medicine, Jichi Medical University
  • Takanosu Tomotaka
    Department of Emergency and Critical Care Medicine, Jichi Medical University
  • Watanabe Nobutaka
    Department of Emergency and Critical Care Medicine, Jichi Medical University
  • Shinjo Takafumi
    Department of Emergency and Critical Care Medicine, Jichi Medical University
  • Matsumura Tomohiro
    Department of Emergency and Critical Care Medicine, Jichi Medical University
  • Izawa Yoshimitsu
    Department of Emergency and Critical Care Medicine, Jichi Medical University
  • Yonekawa Chikara
    Department of Emergency and Critical Care Medicine, Jichi Medical University
  • Mato Takashi
    Department of Emergency and Critical Care Medicine, Jichi Medical University

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Other Title
  • 右高位肋骨骨折および右頸椎横突起骨折とは対側に生じた外傷性左総頸動脈閉塞の1例

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<p>A man in his 50s was injured in a traffic accident. Computed tomography showed bilateral traumatic pneumothorax, pelvic fractures, and left common carotid artery occlusion. Fourteen hours after admission, right hemiplegia and deterioration of consciousness suddenly appeared, and magnetic resonance imaging showed cerebral infarction. Anticoagulant therapy was started after surgery for the pelvic fracture, and neurological symptoms did not progress. Traumatic common carotid artery occlusion is very rare. Administration of anti-platelet drugs has been reported as useful, but is often difficult in polytrauma patients. Further study is needed regarding optimal treatment in the future.</p>

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