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Traumatische Karotisdissektion

Herausforderungen der Diagnostik und Therapie anhand eines Fallbeispiels

Traumatic dissection of the carotid artery

Challenges for diagnostics and therapy illustrated by a case example

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Zusammenfassung

Traumatische Dissektionen der A. carotis sind eine leicht zu übersehende Traumafolge mit relevanter Morbidität und Mortalität, die in bis zu 4 % der Fälle im Rahmen eines Polytraumas auftreten sollen. Bestimmte Unfallmechanismen, Verletzungsmuster und Symptome sollten daher an das Vorliegen einer Dissektion denken lassen und Anlass zu weiterer Diagnostik sein. Die frühzeitige Diagnose kann zur Vermeidung zerebraler Ischämien führen und somit möglicherweise das Outcome der Patienten positiv beeinflussen. In der vorliegenden Kasuistik wird ein 45-jähriger Patient mit zunächst nichtdiagnostizierter Karotisdissektion im Rahmen eines Verkehrsunfalls vorgestellt.

Abstract

Traumatic dissection of the carotid artery is an easily overlooked consequence of trauma with notable morbidity and mortality which can be observed in up to 4 % of cases involving multiple trauma. Certain mechanisms and patterns of injury as well as specific symptoms should serve as indicators of a dissection and should therefore result in further diagnostic measures. An early diagnosis is of major relevance. This report describes the case of a 45-year-old victim of a traffic accident who showed symptoms of a dissection which had initially not been diagnosed.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. G. Jansen, J. Popp, U. Dietrich, F. Mertzlufft und F. Bach geben an, dass kein Interessenkonflikt besteht. Das vorliegende Manuskript enthält keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Klinik für Anästhesie, Intensiv-, Notfall-, Transfusionsmedizin und Schmerztherapie, Evangelisches Krankenhaus, Burgsteig 13, 33617, Bielefeld, Deutschland

    G. Jansen, J. Popp, F. Mertzlufft & F. Bach

  2. Abteilung für Neuroradiologie, Evangelisches Krankenhaus, Bielefeld, Deutschland

    U. Dietrich

Authors
  1. G. Jansen
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  2. J. Popp
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  3. U. Dietrich
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  4. F. Mertzlufft
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  5. F. Bach
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Correspondence to G. Jansen.

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Jansen, G., Popp, J., Dietrich, U. et al. Traumatische Karotisdissektion. Anaesthesist 62, 817–823 (2013). https://doi.org/10.1007/s00101-013-2243-1

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  • DOI: https://doi.org/10.1007/s00101-013-2243-1

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