日本救急医学会雑誌
Online ISSN : 1883-3772
Print ISSN : 0915-924X
ISSN-L : 0915-924X
ヘリカルCTと超音波検査により診断し得た外傷性椎骨動脈損傷の1例
速形 俊昭中森 靖塩崎 忠彦藤中 俊之井戸口 孝二杉本 壽
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2001 年 12 巻 4 号 p. 184-189

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Injuries of the vertebral artery due to severe craniocervical trauma have become relatively common but often go unrecognized initial trauma evaluation and are diagnosed after symptoms. We treated a patient with anterior C3 dislocation whose left vertebral artery dissection was diagnosed in 3-dimensional computed tomography (3D CT) angiography and color-coded Doppler sonography before any sign of cerebral dysfunction or ischemia. It is important to diagnose vertebral artery dissection early in patients with severe craniocervical trauma to initiate treatment and prevent serious complication. 3D CT angiography and color-coded Doppler sonography are comparatively noninvasive and very useful in diagnosing vertebral artery dissection in patients with craniofacial trauma.

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