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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Secondary thrombosis of the left internal carotid artery caused by a motor vehicle accident: a radiological case

1
Department of Radiology, Kaunas University of Medicine
2
Department of Neurology, Kaunas University of Medicine, Lithuania
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Author to whom correspondence should be addressed.
Medicina 2010, 46(4), 275; https://doi.org/10.3390/medicina46040038
Received: 1 April 2009 / Accepted: 6 April 2010 / Published: 11 April 2010
rare case of occlusion of the internal carotid artery following a motor vehicle accident in a 34-year-old female victim who initially presented with clear consciousness and had normal computed tomogram of the brain is reported. Seven hours after the accident, the patient was unexpectedly diagnosed with the left hemisphere infarction, and two days later, she suffered from right hemiplegia and coma. The follow-up brain computed tomography scan showed an acute infarction of the left hemisphere of the cerebrum and severe cerebral edema. Anticoagulation therapy was administered, and emergency craniotomy for brain decompression was carried out. After 3.5 months, she was discharged and underwent regular follow-up in the outpatient department. Four years after the motor vehicle accident, the patient had intact awareness, was functionally independent, but remained with motor aphasia, right hand paralysis, and right leg paresis.
Keywords: internal carotid occlusion; computed tomography; craniotomy; rehabilitation internal carotid occlusion; computed tomography; craniotomy; rehabilitation
MDPI and ACS Style

Randakevičienė, G.; Gleiznienė, R.; Rastenytė, D.; Lukoševičius, S. Secondary thrombosis of the left internal carotid artery caused by a motor vehicle accident: a radiological case. Medicina 2010, 46, 275.

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