Citation

Petetta C, Santovito D, Tattoli L, Melloni N, Bertoni M, Di Vella G. Ann. Vasc. Surg. 2019; ePub(ePub): ePub.

Affiliation

Department of Public Health and Pediatrics, Section of Legal Medicine, University of Turin, Corso Galileo Galilei 22, 10126, Torino, Italy.

Copyright

(Copyright © 2019, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1016/j.avsg.2019.10.049

PMID

31655108

Abstract

Internal carotid artery dissection (ICAD) following motorcycle accidents is unusual but life-threatening if not promptly diagnosed and treated. We report the case of motorcyclist involved in a frontal collision with a car, suffering injuries due to direct blunt trauma, and to indirect trauma by sudden deceleration force. Bilateral ICAD was diagnosed by Computed tomography angiogram five days after the accident. Here in, starting from a medico legal case we emphasized some clinical criteria to make a promptly diagnosis to prevent permanent neurological deficit in this pathology whose best management is still under the debate. An unusual case of ICAD is described with regard to both forensic and promptly diagnostic therapeutic management.

Copyright © 2019 Elsevier Inc. All rights reserved.

Language: en

Keywords

blunt trauma; carotid artery dissection; forensic pathology; motorcycles accidents; traffic accidents