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Trauma in the Carotid Space

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Using our Mnemonic of VITAMIN C and D.

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We've done vascular and infectious inflammatory etiologies.

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It's time to come to T,

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which stands for Trauma.

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The carotid artery,

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like the vertebral artery,

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is often involved in trauma during motor vehicle

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collisions and therefore is a source

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of CTAs and CTs of the neck

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in the acute emergency department setting.

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The carotid artery may be injured due to direct

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injury when we have, for example,

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gunshot wounds or knife injuries in the neck.

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It may be secondary to dissection.

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The carotid artery dissection is not as common in the neck

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as vertebral artery dissection,

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which is often associated with vertebral body or

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foraminal fractures of the cervical spine.

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As a complication of dissection,

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we may have pseudoaneurysm formation or what some

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people will use the term traumatic aneurysm.

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And this is secondary to wall expansion and thinning

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with blood products in the space between the intima

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and the media of the carotid artery,

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leading to the aneurysm formation.

Report

Description

Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Tags

Vascular Imaging

Vascular

Trauma

Neuroradiology

Neuro

MRI

Head and Neck

CT

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