Traumatic dissection of the internal carotid artery: simultaneous infarct of optic nerve and brain

Correa, Edgar Patricio

doi:10.1002/ccr3.53

Cited by 8 publications

(7 citation statements)

References 51 publications

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“…It is possible to state that OM-CRAT in sliding and rotation has not posed risk to the circulation of such arteries and, according to some literature statements, osteopathic manipulative treatment or vertebral manipulation has not caused injury or undue tension on vertebral and carotid arteries 12,13,[20][21][22] , providing significantly lower sliding than that of clinical tests for VBI 9,10,13,20 . So, cervical manipulation performed by a professional was not in this study a risk factor for vertebrobasilar and carotid injury 12,13,[20][21][22][23] . Results of our study confirm that no individual has presented VBI or carotid failure by ultrasound before and after OM-CRAT, because there have been no significant oscillations on the flow of such arteries on CE-SE (Table 1) and on RCE-SE (Table 2), with results within normality indices 24,25 .…”

Section: Discussionmentioning

confidence: 61%

“…It is described that VA dissection associated to cervical manipulation is uncommon, but it can be severe or fatal in some cases [17][18][19] . There are reports that cervical manipulation and mobilization do not pose risk to VA and carotids 13,[20][21][22] , and it is considered that vertebral and carotid arteries dissection or injury should be attributed to mechanical impact common during car accidents (whiplash) or to arterial diseases, being uncommon for cervical manipulation to generate such injury 13,19,21,23 . Vascular ultrasound is indicated to evaluate blood flow from internal carotid (ICA), vertebral (VA) and basilar (BA) arteries.…”

Section: Introductionmentioning

confidence: 99%

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Influence of osteopathic manipulation on blood flow velocity of the cerebral circulation in chronic mechanical neck pain

et al. 2014

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BACKGROUND AND OBJECTIVES:Osteopathic manipulation is indicated for pain, myofascial tensions and/or decreased movement amplitude. This study aimed at checking whether osteopathic manipulation with cervical rhythmic articulatory technique generates abnormal blood flow velocity oscillations or risks to internal carotid, vertebral and basilar arteries circulation. METHODS:The sample was made up of 58 individuals with chronic mechanical cervical pain (40 females and 18 males), with mean age of 36 years, submitted to internal carotid, vertebral and basilar arteries ultrasound before and after a single osteopathic manipulation with cervical rhythmic articulatory technique. Individuals were evaluated by ultrasound in three moments: control evaluation, rest control evaluation and study evaluation. Separation was sequential and methods were randomly and blindly applied. RESULTS: Ultrasound has shown no significant differences in the comparison of flow velocity variables means among evaluations. However, a slight increase in vertebral, intracranial and basilar arteries blood flow was observed after osteopathic manipulation with cervical rhythmic articulatory technique in the study evaluation, without statistical significance. CONCLUSION: In this studied population, osteopathic manipulation with cervical rhythmic articulatory technique has not generated significant blood flow velocity oscillation of internal carotid, vertebral and basilar arteries and has not posed risk to brain circulation. Keywords: Carotid arteries, Cervical pain, Doppler Ultrasound, Spine manipulation, Vertebral artery. Influence of osteopathic manipulation on blood flow velocity of the cerebral circulation in chronic mechanical neck pain*

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Section: Discussionmentioning

confidence: 61%

Section: Introductionmentioning

confidence: 99%

Influence of osteopathic manipulation on blood flow velocity of the cerebral circulation in chronic mechanical neck pain

et al. 2014

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“…Other papers concerning blunt head and/or neck trauma are described in Table 1 [71]. Some Authors described cases of TICAD related to sports practice, both in case of some kind of trauma or not [25,62,[72][73][74][75][76][77][78][79].…”

Section: Resultsmentioning

confidence: 99%

Traumatic Internal Carotid Artery Injuries: Do We Need a Screening Strategy? Literature Review, Case Report, and Forensic Evaluation

Maiese

Frati

Manetti

et al. 2022

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: 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.

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“…The site of ischaemic damage is used in the classification of ION as fundoscopic examination helps to delineate the site involved - anterior ischaemic optic neuropathy (AION) if the initial fundic examination shows disc oedema, and posterior (retrobulbar) ischaemic optic neuropathy (PION) if there is no initial disc oedema but subsequent examination exhibits optic disc atrophy [ 14 ]. Giant cell arthritis and nonarterial ION make up 90% of the causes of ION while only 4% of ION occurs due to ICAD [ 12 , 15 ]. CRAO/BRAO can result from an occlusion or decrease in perfusion of the central retinal artery.…”

Section: Discussionmentioning

confidence: 99%

An Internal Carotid Artery Dissection Masquerading as Optic Neuritis: A Case Report

Nandwani¹,

Thng²,

Anaikatti³

2021

Cureus

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Carotid artery dissection is an important cause of stroke, especially in the young. We present a 43-year-old lady, with a known background of headaches, who was referred to the Emergency Department with a headache, dilated pupil, and acute monocular blurring of vision. She was later found to have an internal carotid artery dissection (ICAD) with diffuse ipsilateral hemispheric involvement after being initially managed for atypical optic neuritis. This case report aims to provide further insight into an atypical presentation of a carotid artery dissection, with the intent of assisting the clinician in identifying such cases during the initial presentation.

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Traumatic dissection of the internal carotid artery: simultaneous infarct of optic nerve and brain

Cited by 8 publications

References 51 publications

Influence of osteopathic manipulation on blood flow velocity of the cerebral circulation in chronic mechanical neck pain

Influence of osteopathic manipulation on blood flow velocity of the cerebral circulation in chronic mechanical neck pain

Traumatic Internal Carotid Artery Injuries: Do We Need a Screening Strategy? Literature Review, Case Report, and Forensic Evaluation

An Internal Carotid Artery Dissection Masquerading as Optic Neuritis: A Case Report

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