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Journal of Korean Neurosurgical Society 2007;42(2): 125-128.
Spontaneous Recanalization from Traumatic Internal Carotid Artery Occlusion.
Young Sung Kim, Seung Hwan Yoon, Eun Young Kim, Hyeon Seon Park
Department of Neurosurgery, College of Medicine, Inha University, Incheon, Korea. hspark@inha.ac.kr
The incidence of spontaneous recanalization after traumatic internal carotid artery occlusion is very rare. We have experienced a case of spontaneous recanalization after a traumatic internal carotid artery occlusion. A 5-year-old boy developed contra-lateral hemiparesis and dysphasia after a blunt injury on the head and neck. He had a complete left internal carotid artery occlusion which was diagnosed through angiography. We treated the patient with an antiplatelet agent and rehabilitation. Six months later, he regained motor power of right extremities, language ability, and revisualization of internal carotid artery on the follow-up magnetic angiography. We confirmed a recanalization of injured internal carotid artery on the conventional cerebral angiography which was performed one year later. We suggest conservative treatment with serial angiographic studies as a possible option of traumatic internal carotid artery occlusion even though there is hemodynamic instability.
Key Words: Blunt injuriy; Carotid artery injury; Internal carotid artery dissection
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