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  • Title: Traumatic pseudoaneurysm of the internal carotid artery presenting with oculosympathetic palsy.
    Author: Singh RR, Thomas AA, Barry MC, Bouchier-Hayes DJ.
    Journal: Ir J Med Sci; 2004; 173(3):162-3. PubMed ID: 15693388.
    Abstract:
    BACKGROUND: Blunt internal carotid artery (ICA) injury is rare but undiagnosed can have disastrous clinical consequences. AIM: To report a late presentation of blunt ICA injury in a young male following a road traffic accident. RESULT: A 16-year-old male presented 11 days following a head injury with a unilateral Horner's syndrome. Imaging confirmed a pseudoaneurysm of the ICA. The patient was treated with anticoagulant therapy. CONCLUSION: Diagnosis of ICA injury requires a high index of suspicion and presentation with unusual neurological signs following blunt trauma to the head and neck requires prompt investigation.
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