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Rehabilitation Practice and Science

Translated Title

外傷性內頸動脈剝離導致腦血管梗塞：病例報告及文獻回顧

Abstract

Traumatic carotid artery dissection is often not recognized at the time of admission, possibly leading to cerebral infarction. This article reports on a 77-year-old man suffering from headache and neck pain after a traffic accident. Although the initial head computed tomography ( CT ) scan revealed no intracranial lesion, progressive left limbs weakness, slurred speech and blurred vision of his right eye developed on the next day after the accident. The color-coded duplex ultrasonography showed an intima flap and a false lumen in his right proximal internal carotid artery ( ICA ), which was compatible with dissection of the vessel. Magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) confirmed the diagnosis. After rehabilitation training, motor and sensory functions of his left limbs somewhat improved. He became wheel-chair bound and partially depended in activity of daily livings (ADL). This casereport reminds the clinicians to carefully consider carotid artery dissection as a cause of stroke, particularly for those with a preceding history of major trauma, headaches or neck pain. If suspected, noninvasive investigations with ultrasound or MRI and MRA should be performed, as prompt intervention may markedly improve prognosis of such patients.

Language

English

First Page

241

Last Page

248

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