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Post-traumatic thrombo embolism

Charlotte Pineau, Brice Lavrard, François Boyer, Laëtitia Percebois-Macadré
OBJECTIVE: MRI has highly changed the assessment of post-traumatic syringomyelia (PTS), roughly estimated at 30% nowadays. Times to onset (TTO) symptoms are random. This case report describes how hyperhidrosis appeared and revealed PTS diagnosis. OBSERVATIONS: Mr M., 43-year-old, is rehabilitation inpatient after T10 AIS A spinal cord injury (SCI). Three months after this event, Mr M complains of acute hyperhidrosis crisis always located below the injury, which can occur at any time of the day, particularly when he moves...
September 2016: Annals of Physical and Rehabilitation Medicine
Philipp Lichte, Philipp Kobbe, Khalid Almahmoud, Roman Pfeifer, Hagen Andruszkow, Frank Hildebrand, Rolf Lefering, Hans-Christoph Pape
INTRODUCTION: Thrombo-embolic events after trauma are considered to be life-threatening complications. Our aim was to determine the incidence of arterial and venous thrombo-embolic events (TE) in severely-injured trauma patients, and its associated risk factors by using a large trauma registry. METHODS: Patients' data from the TraumaRegister DGU® (TR-DGU) were screened for TE (DVT [symptomatic deep vein thrombosis], PE [symptomatic pulmonary embolism], MI [myocardial infarction], and stroke) through the clinical course of severely injured adult trauma patients from January 2005 to December 2012...
May 2015: International Orthopaedics
Ahmed M Raslan, Jeremy D Fields, Anish Bhardwaj
Venous thrombo-embolism (VTE) is frequently encountered in critically ill neurological and neurosurgical patients admitted to intensive care units. This patient population includes those with brain neoplasm, intracranial hemorrhage, ischemic stroke, subarachnoid hemorrhage, pre- and post-operative patients undergoing neurosurgical procedures and those with traumatic brain injury, and acute spinal cord injury (SCI). There is a wide variability in clinical practice for thromboprophylaxis in these patients, in part due to paucity of data based on randomized clinical trials...
April 2010: Neurocritical Care
M Bahloul, D Abid, H Ketata, H Kallel, H Dammak, H Chelly, C Ben Hamida, M N Mhiri, M Bouaziz
Post traumatic renal artery thrombosis is rarely described in the literature. This pathology can result from stretch injury to inelastic intima of the renal artery, or by the direct flow to the abdomen causing compression injury to the renal artery against the vertebral column. However, the association of this pathology with hematologic diseases (in particular protein C deficit) was never described. We report an observation of a 28-year-old man with an uneventful history who was admitted to the intensive care unit for traumatic head injury associated with post traumatic renal artery thrombosis requiring nephrectomy...
December 2006: Journal des Maladies Vasculaires
A Assadian, C Senekowitsch, O Assadian, H Schuster, H Ptakovsky, G W Hagmüller
BACKGROUND: Symptomatic fibromuscular dysplasia (FMD) of the internal carotid artery (ICA) can present as thrombo-embolic ischemic events, spontaneous or post-traumatic dissection, aneurysmal degeneration or intracranial haemorrhage and needs definitive surgical treatment. PATIENTS AND METHODS: Six patients and nine ICA with FMD were revascularised using a carotid approach with minimal exposure of the common, external and internal carotid arteries for covered stent repair...
April 2005: European Journal of Vascular and Endovascular Surgery
José E Cohen, Gustavo Rajz, Javier Valarezo, Felix Umansky, Sergey Spektor
Aneurysmal dilatations occur at any level of carotid dissection, but typically at the distal subcranial segment. These aneurysms may grow, compress cervical structures, rupture or constitute a potential source of thrombo-embolic complications. When conservative and/or medical treatment failed or is contraindicated, a more aggressive therapy, such as endovascular stenting should be considered. We report the successful use endovascular stenting for the treatment of post-traumatic dissecting aneurysms of the extracranial internal carotid artery and discuss the potential of different stents types...
September 2004: Neurological Research
G Durand, B Bares, B Pradere, A Barret, A Gedeon
The occurrence of iatrogenous vascular accidents is underestimated. The authors describe 14 venous lesions to the femoro-iliac axis out of 60 iatrogenous vascular traumatisms. They consider the different aetiologies, underlining the disadvantages of femoral catheterisms and the main surgicalfactors contributing to venous traumatism. They emphasize the need for preventive measures in each discipline, and also the need for rapid diagnosis, thorough treatment, and careful post-operative after-care, bearing in mind secondary thrombo-embolic complications...
October 1985: Phlébologie
H J Steiger
Twelve traumatic internal carotid artery dissections were seen within a three-year period. All dissections were diagnosed upon onset of neurological deficits, although, seen retrospectively, there had been warning signs such as partial Horner's syndrome and neck pain, in the majority of cases prior to the neurological deficits. Panangiography and transcranial Doppler ultrasound were used to assess the cerebral haemodynamic situation. In only 3 of the 12 cases evidence of insufficient collateral circulation to the compromised carotid artery distribution was found, but radiological and Doppler sonographic signs of embolism to the middle cerebral artery were seen in the majority of patients...
July 1988: Neurochirurgia
M Ito
The incidence of pulmonary embolism was surveyed in 500 serial autopsy records (1984-1989) in Nagoya University Hospital. This disease occurred in 77 cases (15.4%) and acute fatal pulmonary embolism was the cause of death in 30 cases (6.0%). This incidence was higher than has previously been reported in Japan, and almost the same as the incidence reported is USA or Western Europe. Thromboembolism was the major cause of this phenomenon in our series. Thirty-four cases were thrombo-embolized. Venous thrombi in 15 cases resulted from intravenous catheter...
June 1991: Kokyu to Junkan. Respiration & Circulation
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