Travmatik karotis arter diseksiyonuna ba�l� serebral enfarkt:  Olgu sunumu ve g�ncel yakla��m�n g�zden ge�irilmesi

K�l�n�er, Cumhur; Tiryaki, Mehmet; �elik, Yahya; Turgut, Nilda; Balc�, Kemal; Utku, Ufuk; �obano�lu, Sebahattin

Cilt : 14 Say� : 4 Y�l : 2024

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Travmatik karotis arter diseksiyonuna ba�l� serebral enfarkt: Olgu sunumu ve g�ncel yakla��m�n g�zden ge�irilmesi [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2008; 14(4): 333-337

Travmatik karotis arter diseksiyonuna ba�l� serebral enfarkt: Olgu sunumu ve g�ncel yakla��m�n g�zden ge�irilmesi

Cumhur K�l�n�er¹, Mehmet Tiryaki¹, Yahya �elik², Nilda Turgut², Kemal Balc�², Ufuk Utku², Sebahattin �obano�lu¹
¹Trakya �niversitesi T�p Fak�ltesi, N�ro�ir�rji Anabilim Dal�, Edirne
²Trakya �niversitesi T�p Fak�ltesi, N�roloji Anabilim Dal�, Edirne

�lerleyen n�roradyolojik y�ntemler sayesinde travmatik karotis diseksiyonlar�n�n san�ld�� kadar seyrek olmad�� anla��lm��t�r. Asemptomatik oldu�u i�in tan�s� konulamayan baz� olgularda ge� d�nemde n�rolojik defisit geli�ebildi�inden ��pheli hasta grubunda karotis diseksiyonunun akla gelmesi ve uygun �ekilde ara�t�r�lmas� gereklidir. Bu yaz�da, ge�irdi�i trafik kazas� sonras�nda karotis interna arter diseksiyonu ve buna ba�l� serebral enfarkt geli�en bir hasta sunuldu. Hastal��n patogenezi, klinik �zellikleri ve uygulanan tan� ve tedavi y�ntemlerinin se�imi literat�r bilgisi ��nda tart��ld�, s�k rastlanmayan ancak ak�lda tutulmas� gereken bu durum hakk�nda g�ncel bilginin aktar�lmas� ama�land�.

Anahtar Kelimeler: Antikoag�lan ajanlar, internal karotis arteri diseksiyonu; iskemik beyin hasar�; karotis arteri yaralanmas�; trafik kazalar�.

Cerebral infarction due to traumatic carotid artery dissection: case report and review of current management

Cumhur K�l�n�er¹, Mehmet Tiryaki¹, Yahya �elik², Nilda Turgut², Kemal Balc�², Ufuk Utku², Sebahattin �obano�lu¹
¹Department Of Neurosurgery, Trakya University Medical Faculty, Edirne
²Department Of Neurology, Trakya University Medical Faculty, Edirne

With the advent of improved neuroradiological methods, it has been determined that frequency of traumatic carotid artery dissections is higher than previously observed. Since delayed neurological deficits may develop in some asymptomatic undiagnosed cases, it is essential to consider the possibility of the carotid artery dissection and evaluate it properly in suspicious cases. In this article, a case of internal carotid artery dissection and subsequent cerebral infarction following a motor vehicle accident is presented. Pathogenesis, clinical features, diagnostic method choices and treatments in this rare but severe condition are discussed in light of the relevant literature in order to convey current knowledge.

Keywords: Anticoagulant agents, internal carotid artery dissection; ischemic brain injury; carotid artery trauma; traffic accidents.

Sorumlu Yazar: Cumhur K�l�n�er, T�rkiye
Makale Dili: T�rk�e

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