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Traumatische Karotisdissektion nach Motorradunfall

Traumatic dissection of carotid arteries caused by high energy motorcycle accident

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Zusammenfassung

Verletzungen der hirnversorgenden Gefäße im Rahmen von Hochrasanztraumen sind seltene aber potentiell das Outcome verschlechternde Verletzungen. Ein differenziertes Schockraummanagement sowie eine Ausweitung der CT-Diagnostik können die Gefahr des Übersehens einer derartigen Verletzung reduzieren. Bei Prell- und Kontusionsmarken im Halsbereich sowie Rasanztraumen mit Krafteinwirkung auf die Halsweichteile bei angelegtem Integralhelm sollte immer an eine mögliche Gefäßverletzung gedacht werden.

Abstract

Injuries of internal carotid arteries caused by high energy trauma are rare but often combined with poor outcome. Blunt trauma to the head and neck as well as the use of newer motorcycle helmets together with crash circumstances should promptly lead to a differentiated polytrauma management with expansion of radiologic diagnostics. This could lead to a reduction of overlooked dissections and an increase in promptly and correctly treated injuries.

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Authors and Affiliations

  1. Klinik für Unfallchirurgie, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1/OE 6230, 30625, Hannover, Deutschland

    S. Brand, F. Hildebrand, M. Wilhelmi, C. Krettek & C. Probst

  2. Klinik für Herz-, Thorax-, Transplantations- und Gefäßchirurgie, Medizinische Hochschule Hannover, Hannover, Deutschland

    O.E. Teebken

  3. Institut für Diagnostische und Interventionelle Radiologie, Medizinische Hochschule Hannover, Hannover, Deutschland

    P. Bolzen

  4. Abteilung für Unfallchirurgie, Klinikum Köln-Mehrheim, Köln, Deutschland

    C. Probst

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  1. S. Brand
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  2. O.E. Teebken
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  3. P. Bolzen
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  4. F. Hildebrand
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  5. M. Wilhelmi
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  6. C. Krettek
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  7. C. Probst
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Correspondence to S. Brand.

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Brand, S., Teebken, O., Bolzen, P. et al. Traumatische Karotisdissektion nach Motorradunfall. Unfallchirurg 115, 930–935 (2012). https://doi.org/10.1007/s00113-011-2078-7

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  • DOI: https://doi.org/10.1007/s00113-011-2078-7

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