Section 9
Chapter 8,268

Carotid artery thrombosis and stroke after blunt pharyngeal injury

Moriarty, K.P.; Harris, B.H.; Benitez-Marchand, K.

Journal of Trauma 42(3): 541-543


ISSN/ISBN: 0022-5282
PMID: 9095125
Accession: 008267964

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A 2-year-old child fell on a toothbrush, sustaining a pharyngeal injury. Eighteen hours later, localizing symptoms of a cerebrovascular accident became evident. Magnetic resonance angiography showed occlusion of the internal carotid artery and a cerebral infarction. She was treated with anticoagulation and made a complete recovery. Pharyngeal injuries may be complicated by internal carotid artery thrombosis and embolus. Management includes prompt diagnosis, anticoagulation, and carotid artery exploration in selected cases.

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