The authors present an unusual case of a transorbital penetrating injury of the internal carotid artery and brainstem. A young man accidentally ran into a 10-foot long citizens band (CB) antenna, and presented to the emergency department with nausea, dizziness and right periorbital ecchymosis. The nature and full extent of the injury were not appreciated at the time of initial examination and computed tomography scan. Magnetic resonance imaging subsequently demonstrated an unusual brainstem lesion. Neurology consultation was obtained. The neurologist and neuroradiologists reviewed the neurological and imaging findings together. This collaboration proved critical to understanding the true nature and extent of the injury and planning evaluation and treatment. Cerebral angiography revealed a traumatic internal carotid artery dissection and pseudoaneurysm, which was treated by placement of a covered stent. The clinical symptoms remained mild and 7-year follow up shows clinical and angiographic stability.
|Original language||English (US)|
|Number of pages||4|
|Journal||The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society|
|State||Published - May 1 2016|
ASJC Scopus subject areas