The Case of Left Carotid and Bilateral Vertebral Artery Dissection occured Secondary Minor Trauma

Öz

The most common reason of non-aterosclerotic stroke is cervical artery dissection for young patients. They frequently admitted to emergency department with the complaints of headache and pain at neck as a result of minor trauma. Cervical artery dissection may effect both anterior and posterior system and then cause neurological symptoms permanently or temporarily. In this study, the case who was 34 years old, admitted to the hospital with the complaints of headache and pain at neck and diagnosed as dissection of extracranial three artery ; bilateral vertebral artery and left internal carotid artery with the result of radiological examination, has been represented. In terms of emergency physician, investigation of the story of minor or major trauma and the relationship between the pain during first adminstiration and previous pain for young patients who have headache periodically, have an important role to consider the pre-diagnosis of cervical artery dissection and to plan the proper radiological examination

Anahtar Kelimeler

• Artery dissection
• minor trauma
• neck pain
• emergency department

MİNÖR TRAVMAYA İKİNCİL GELİŞEN SOL KAROTİD VE BİLATERAL VERTEBRAL ARTER DİSEKSİYONU OLGUSU

Öz

Servikal arter diseksiyonu, genç hastalarda nonateroskelerotik inmenin en sık nedenidir. Bu hastalar sıklıkla baş ve boyun ağrısı şikayeti ile başvururlar. En sık rastlanan neden minör travmadır. Servikal arter diseksiyonu hem anterior hem posterior sistemi etkileyebilir, sonrasında kalıcı veya geçici nörolojik bulgulara neden olabilir. Bu yazıda 34 yaşında, baş ve boyun ağrısı şikayeti ile başvuran ve yapılan radyolojik incelemeler sonucu bilateral vertebral arter ve sol internal karotid arter olmak üzere ekstrakranyal üç damarda diseksiyon saptanan olgu sunulmaktadır. Acil hekimleri açısından periyodik baş ağrısı öyküsü olan genç olgularda hastanın daha önce yaşadığı ağrının başvuru sırasındaki ağrı ile benzer özellikte olup olmadığının ve majör/minör travma öyküsünün sorgulanması; servikal arter diseksiyonu ön tanısının akla gelmesi ve gerekli radyolojik incelemelerin planlanması açısından kritik öneme sahiptir.

Anahtar Kelimeler

• Arter diseksiyonu
• minör travma
• boyun ağrısı
• acil servis

Kaynakça

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