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BMJ Case Reports 2014; doi:10.1136/bcr-2014-207286

Traumatic intracerebral infarction due to vertebral and carotid artery dissection

  1. Conor Hurson
  1. Department of Trauma and Orthopaedics, St. Vincents University Hospital, Dublin, Ireland
  1. Correspondence to Dr Prasad Ellanti, prasad.ellanti{at}gmail.com
  • Accepted 6 December 2014
  • Published 22 December 2014

Description

A 38-year-old woman presented to the emergency department subsequent to a high-velocity single vehicle road traffic accident with a fracture of left ulna and radius, right clavicle and sacrum. There was no history of loss of consciousness. Her Glasgow Coma Scale on presentation was 13 and quickly improved to 15. An initial CT brain was normal. On day 4 postadmission she developed rapidly progressive weakness to all four limbs with upper motor signs. An emergent CT brain revealed extensive areas of cerebral infarction bilaterally (figure 1A, B) with an evolving hydrocephalus. A CT angiogram …

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