caa a22 4500 475753801 CHVBK 20180406123532.0 cr unu---uuuuu 170329e20000501xx s 000 0 eng 10.1007/s005950050630 doi (NATIONALLICENCE)springer-10.1007/s005950050630 Blunt carotid artery injury after accidental neck compression: Report of a case [Elektronische Daten] [Hisashi Matsumoto, Yoshihiro Noji, Kohjiro Hirota, Keizo Shibata] Almost all cases of carotid artery injury are precipitated by a high-energy impact such as motor vehicle accidents or gunshot wounds, and are usually diagnosed using angiography. We report herein a case of carotid artery injury induced by a low-energy insult with rare clinical signs which was diagnosed using ultrasonography as well as angiography. A 37-year-old man sustained an accidental compression of the neck and was transferred to our emergency room. Horner's syndrome and phrenic nerve palsy were detected on the left side. Ultrasonography demonstrated two sites of injury with an intimal flap of the distal left common carotid artery as well as angiography. The patient was placed on anticoagulants and was discharged on the 10th hospital day with both Horner's syndrome and phrenic nerve palsy. This case suggests that surgeons should investigate any possible carotid artery injury, even after low-velocity injuries such as compression of the neck, and therefore an ultrasonic examination should be performed at the initial evaluation and at follow-up studies. In addition, further investigations are also called for to investigate the utility of anticoagulation in the treatment of carotid artery injury. Springer-Verlag, 2000 carotid artery injury nationallicence ultrasonography nationallicence blunt trauma nationallicence Matsumoto Hisashi Department of Critical Care Medicine, School of Medicine, Kanazawa University, 13-1 Takara-machi, 920-8641, Kanazawa, Japan aut Noji Yoshihiro Department of Critical Care Medicine, School of Medicine, Kanazawa University, 13-1 Takara-machi, 920-8641, Kanazawa, Japan aut Hirota Kohjiro Department of Critical Care Medicine, School of Medicine, Kanazawa University, 13-1 Takara-machi, 920-8641, Kanazawa, Japan aut Shibata Keizo Department of Critical Care Medicine, School of Medicine, Kanazawa University, 13-1 Takara-machi, 920-8641, Kanazawa, Japan aut Surgery Today Springer-Verlag 30/5(2000-05-01), 477-480 0941-1291 30:5<477 2000 30 595 https://doi.org/10.1007/s005950050630 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950050630 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Matsumoto Hisashi Department of Critical Care Medicine, School of Medicine, Kanazawa University, 13-1 Takara-machi, 920-8641, Kanazawa, Japan aut NATIONALLICENCE 700 1- Noji Yoshihiro Department of Critical Care Medicine, School of Medicine, Kanazawa University, 13-1 Takara-machi, 920-8641, Kanazawa, Japan aut NATIONALLICENCE 700 1- Hirota Kohjiro Department of Critical Care Medicine, School of Medicine, Kanazawa University, 13-1 Takara-machi, 920-8641, Kanazawa, Japan aut NATIONALLICENCE 700 1- Shibata Keizo Department of Critical Care Medicine, School of Medicine, Kanazawa University, 13-1 Takara-machi, 920-8641, Kanazawa, Japan aut NATIONALLICENCE 773 0- Surgery Today Springer-Verlag 30/5(2000-05-01), 477-480 0941-1291 30:5<477 2000 30 595 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer