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KMID : 1143720090050010025
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Korean Journal of Neurotrauma
2009 Volume.5 No. 1 p.25 ~ p.28
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Internal Carotid Artery Dissecting Aneurysm by Violence
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Kang Suk-Hyung
Lee Eun-Sang
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Abstract
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Dissecting aneurysm is not common. By the literature, motorcycle accidence is most common cause of dissecting aneurysm. Next to motorcycle accidence, perforating injury or blunt traumas occasionally could cause the dissection of artery. The authors have experienced one young adult man who admitted emergency room (ER) because of loss of consciousness, left hemiparesis and headache after violence of neck trampled down. On radiologic study, right carotid arterial dissection and acute cerebral infarction of middle cerebral artery territory were detected. Because of hemorrhagic transformation with severe brain swelling, he got decompressive craniectomy and carotid stent insertion in consecutive order. The authors present a case of carotid dissecting aneurysm after minor violence and careful observation was needed to identify.
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KEYWORD
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Dissecting aneurysm, Violence
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