: Internal carotid artery dissection (ICAD) represents the cause of ictus cerebral in about 20% of all cases of cerebral infarction among the young adult population. ICAD could involve both the extracranial and intracranial internal carotid artery (ICA). It could be spontaneous (SICAD) or traumatic (TICAD). It has been estimated that carotid injuries could complicate the 0,32% of cases of general blunt trauma and the percentage seems to be higher in severe multiple traumas. TICAD is diagnosed when neurological symptoms have already occurred, and it could have devastating consequences, from permanent neurological impairment to death. Thus, even if it is a rare condition, a prompt diagnosis is essential. There are no specific guidelines regarding TICAD screening. TICAD is mainly correlated to motor vehicle accidents (94/227), specifically to car accidents (39/94), and to direct or indirect head and cervical trauma (76/227). Nevertheless, TICAD should be considered when a young adult or middle-aged patient presents after severe blunt trauma. Understanding which kind of traumatic event is most associated with TICAD could help clinicians direct their diagnostic process. Herein, a review of the literature concerning TICAD has been carried out to highlights its correlation with specific traumatic events. As well, a case report is presented to discuss TICAD forensic implications.

Traumatic internal carotid artery injuries: do we need a screening strategy? Literature review, case report, and forensic evaluation / Maiese, Aniello; Frati, Paola; Manetti, Alice Chiara; De Matteis, Alessandra; Di Paolo, Marco; La Russa, Raffaele; Turillazzi, Emanuela; Frati, Alessandro; Fineschi, Vittorio. - In: CURRENT NEUROPHARMACOLOGY. - ISSN 1570-159X. - 19:(2021). [10.2174/1570159X19666210712125929]

Traumatic internal carotid artery injuries: do we need a screening strategy? Literature review, case report, and forensic evaluation

Maiese, Aniello;Frati, Paola;Manetti, Alice Chiara;De Matteis, Alessandra;La Russa, Raffaele;Frati, Alessandro;Fineschi, Vittorio
2021

Abstract

: Internal carotid artery dissection (ICAD) represents the cause of ictus cerebral in about 20% of all cases of cerebral infarction among the young adult population. ICAD could involve both the extracranial and intracranial internal carotid artery (ICA). It could be spontaneous (SICAD) or traumatic (TICAD). It has been estimated that carotid injuries could complicate the 0,32% of cases of general blunt trauma and the percentage seems to be higher in severe multiple traumas. TICAD is diagnosed when neurological symptoms have already occurred, and it could have devastating consequences, from permanent neurological impairment to death. Thus, even if it is a rare condition, a prompt diagnosis is essential. There are no specific guidelines regarding TICAD screening. TICAD is mainly correlated to motor vehicle accidents (94/227), specifically to car accidents (39/94), and to direct or indirect head and cervical trauma (76/227). Nevertheless, TICAD should be considered when a young adult or middle-aged patient presents after severe blunt trauma. Understanding which kind of traumatic event is most associated with TICAD could help clinicians direct their diagnostic process. Herein, a review of the literature concerning TICAD has been carried out to highlights its correlation with specific traumatic events. As well, a case report is presented to discuss TICAD forensic implications.
2021
Internal carotid artery dissection; trauma; diagnostic screening
01 Pubblicazione su rivista::01a Articolo in rivista
Traumatic internal carotid artery injuries: do we need a screening strategy? Literature review, case report, and forensic evaluation / Maiese, Aniello; Frati, Paola; Manetti, Alice Chiara; De Matteis, Alessandra; Di Paolo, Marco; La Russa, Raffaele; Turillazzi, Emanuela; Frati, Alessandro; Fineschi, Vittorio. - In: CURRENT NEUROPHARMACOLOGY. - ISSN 1570-159X. - 19:(2021). [10.2174/1570159X19666210712125929]
File allegati a questo prodotto
File Dimensione Formato  
Maiese_Traumatic internal carotid artery injuries_2021.pdf

accesso aperto

Tipologia: Documento in Pre-print (manoscritto inviato all'editore, precedente alla peer review)
Licenza: Tutti i diritti riservati (All rights reserved)
Dimensione 4.12 MB
Formato Adobe PDF
4.12 MB Adobe PDF

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1619503
Citazioni
  • ???jsp.display-item.citation.pmc??? 1
  • Scopus 3
  • ???jsp.display-item.citation.isi??? 2
social impact