Vol.100 No.7 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 100 No. 7 Jury 2007
Internal Carotid Artery Obstruction Due to
Oropharyngeal Trauma: A Case Report
Keiko Hara, Masaaki Hata, Hiroyuki Takayanagi,
Kenji Kawano, Masakazu Fujimori and Katsuhisa Ikeda
(Juntendo University Shizuoka Hospital)
Internal carotid artery obstruction due to oropharyngeal trauma was originally reported by Caldwell in 1936. And the number of reports has been limited to seven in the Japanese literature. We report the case of a two-year-old girl who sustained oropharyngeal wall trauma from a tooth brush. After the characteristic period of several hours, hemiplegia developed on her left side. MRA revealed obstruction of the internal carotid and middle cerebral arteries on her right side. Although pediatric oropharyngeal trauma is a common injury, it is important to consider traumatic blunt carotid injury, even if there are initially no neurologic findings. Therefore, informed consent and careful observation are clinically significant in oropharyngeal trauma cases.
Key words : internal carotid artery obstruction, oropharyngeal trauma, MRA