EARLY ANTICOAGULATION MAY PREVENT STROKE IN BLUNT CAROTID ARTERY INJURY

Early Anticoagulation may prevent Stroke in Blunt Carotid Artery Injury

Early Anticoagulation may prevent Stroke in Blunt Carotid Artery Injury

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Blunt carotid artery injury (BCAI) is a rare sequelae of blunt neck trauma.It may lead to stroke and major neurological deficits.Therefore, early diagnosis and management are crucial to prevent or reduce associated morbidity.We report a 22-year-old male who sustained an accidental left BCAI with an air-gun bullet.

The injury was suspected on clinical assessment and resta moisturizer confirmed by a CT/angiogram of the neck.The patient was promptly started on therapeutic anticoagulation and did not develop any neurological deficits.Our case emphasizes the importance of non-invasive management of BCAI, which requires a high index of clinical suspicion for diagnosis.Once confirmed, starting therapeutic anticoagulation early is vital to avoid fatal consequences, namely strokes, in such patients.

Keywords: Blunt injury; Carotid artery; Stroke; Anticoagulation; caravan scissor jack Vascular Trauma.

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