Delayed Post-Traumatic Anisocoria

Erg�l, Dursun F�rat; Ekemen, Serdar; �zdemir, �zcan; Uzan, �a�da�; Yelken, Birg�l

Delayed Post-Traumatic Anisocoria [Turk J Anaesthesiol Reanim]

Turk J Anaesthesiol Reanim. 2015; 43(3): 209-211 | DOI: 10.5152/TJAR.2015.79847

Delayed Post-Traumatic Anisocoria

Dursun F�rat Erg�l¹, Serdar Ekemen¹, �zcan �zdemir², �a�da� Uzan¹, Birg�l Yelken¹
¹Department Of Anaesthesiology And Reanimation,�ntensive Care Unit, Eski�ehir Osmangazi University Faculty Of Medicine, Eski�ehir, Turkey.
²Department Of Norology, Eski�ehir Osmangazi University Faculty Of Medicine, Eski�ehir, Turkey.

Post-traumatic carotid artery dissection is one of the major causes of ischemic stroke in young patients; its diagnosis remains a challenge for clinicians because of its variable clinical presentation. An otherwise healthy 37-year-old man was referred to the intensive care unit of our faculty for the management of multiple trauma because of a car accident. At 11 days from admission, his doctor noticed the advent of anisocoria. A prompt treatment was instituted with anti-platelet and-coagulant agents. The patient had a complete resolution of symptoms. The prognosis was good, and the patient achieved a complete clinical recovery. He was discharged without any sequelae.

Keywords: Anisocoria, internal carotid artery, dissection

Travma Sonras� Ge� D�nemde Geli�en Anizokori

Dursun F�rat Erg�l¹, Serdar Ekemen¹, �zcan �zdemir², �a�da� Uzan¹, Birg�l Yelken¹
¹Eski�ehir Osmangazi �niversitesi T�p Fak�ltesi, Anesteziyoloji ve Reanimasyon Anabilim Dal�, Yo�un Bak�m Bilim Dal�, Eski�ehir, T�rkiye
²Eski�ehir Osmangazi �niversitesi T�p Fak�ltesi, N�roloji Anabilim Dal�, Eski�ehir, T�rkiye

Post travmatik karotis arter diseksiyonlar�, gen� hastalarda akut arteryel iskemik infarkt�n en s�k nedenlerinden biri olup, de�i�ken klinik bulgular nedeniyle tan�s�n�n konulmas�nda g��l�kler ya�anabilmektedir. Herhangi bir hastal�� olmayan 37 ya��ndaki erkek hasta,trafik kazas� sonucu multitravma nedeniyle fak�ltemiz yo�un bak�m servisine kabul edildi. Hastan�n yat��n�n 11. g�n�nde anizokori varl�� tespit edildi. Antitrombosit ve antikoag�lan ajanlar ile tedavisi sa�land�. Prognozu iyi seyreden hasta sekelsiz, sa�l�kl� bir �ekilde taburculu�u sa�land�.

Anahtar Kelimeler: Anizokori, internal karotis arter, disseksiyon

Dursun F�rat Erg�l, Serdar Ekemen, �zcan �zdemir, �a�da� Uzan, Birg�l Yelken. Delayed Post-Traumatic Anisocoria. Turk J Anaesthesiol Reanim. 2015; 43(3): 209-211

Corresponding Author: Dursun F�rat Erg�l, T�rkiye

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