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Crico-tracheal disruption and common carotid artery occlusion: a case of blunt trauma

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Abstract

A case of blunt trauma to the neck is presented. While driving an all terrain vehicle (ATV), a 20-yr-old male was struck across the anterior neck by a cord suspended between two poles. Initial findings were suggestive of an isolated laryngeal injury; 48 hours later, however, a dense left hemiplegia became manifest. A CT scan demonstrated a large right frontoparietal cerebral infarcl, and an angiogram confirmed occlusion of the right commmon carotid artery. Intractable cerebral oedema developed, and the patient died five days after the initial insult. Such injuries should alert the clinician to the possibility of major vascular injury, and if suspected, angiography is warranted.

Résumé

Un cas de traumatisme du cou est présenté. Tout en conduisant un véhicule tout terrain (ATV), un homme de vingt ans a été frappé à travers la face antérieure du cou par une corde suspendue entre deux poles. L’examen initial suggerait une lésion isolée du larynx; et 48 heures plus tard, cependant, une hemiplegie gauche se manifesto. Un CT scan a démontré un infarctus cérébral droit fronto-parietale et l’angiogramme a confirmé l’occlusion de l’artère carotide commune droite. L’oedème cérébral se développa et le patient décéda cinq jours après le trauma initial. De telles lesions doivent alerter le clinicien sur la possibilité de lésions vasculaires majeures et si suspectées, l’angiographie doit être faite.

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Author information

Correspondence to Donald Oxorn.

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Oxorn, D., Clark, K. Crico-tracheal disruption and common carotid artery occlusion: a case of blunt trauma. Can J Anaesth 37, 913–915 (1990). https://doi.org/10.1007/BF03006635

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Key words

  • Complications: trauma
  • Arteries: carotid
  • larynx