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Case Report
Traumatic thrombosis of internal carotid artery
Prakash Singh M Ch, S Rai M S*, VS Bedi M S*, C Mohan M D**
Departments of Neurosurgery, *Vascular Surgery and **Interventional Radiology
Army Hospital (R&R), Delhi Cantt-110010
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27 year old soldier sustained closed head injury in a road accident.
He was unconscious for about 6hr.When seen at our hospital his GCS
was 15/15; normal pupil but he had left hemiplegia. Head CT scan
showed a low attenuation lesion in right fronto-parietal region
suggestive of infarct. A cerebral angiogram revealed right internal
carotid occlusion. He was treated with unsuccessful thrombectomy
and STA-MCA by pass, anti-platelet agents and improved partially.
Problems of traumatic ICA thrombosis in the setting of head injury
are discussed.
Key words : Head injury, Traumatic
internal carotid thrombosis
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__________________________________________________________________________________________________________
Address for correspondence:
Col Prakash Singh
Senior advisor Neurosurgery
Deptt of Neurosurgery, Army Hospital R&R, Delhi Cantt-110010.
E-mail: ps_neuro@yahoo.co.in
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