2010 年 33 巻 1 号 p. 91-94
We report a 59-year-old man who got blunt injury of head and face by 200 kg container. His Japan Coma Scale score on admission was one and Glasgow Coma Scale score was 14. He had paresis of bilateral oculomotor nerves and left abducens nerve, and facial numbness of the left V1–3 territories. CT scan showed traumatic subarachnoid hemorrhage, cerebral contusion and pneumocephalus. Fracture of bilateral temporal bone, left petrous bone and the mandible was observed. Angiography showed bilateral dissection of the petrous portion of the internal carotid artery and left carotid-cavernous fistula. Follow-up angiography and MRA showed disappearance of the arterial dissection and carotid-cavernous fistula. He was treated conservatively and discharged with left facial numbness and left abducens palsy.
