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CT scanning of the brain revealed infarcts in the right frontal and parietal lobes in the distribution of the right middle cerebral artery. CT angiography showed occlusion of the right internal carotid artery consistent with internal carotid artery dissection. He was anticoagulated and nine months later was able to walk independently. <\/jats:p><jats:p> An awareness of this injury is needed to diagnose blunt trauma to the internal carotid artery. Even in the absence of obvious neck trauma, carotid artery dissection should be suspected in patients with a neurological deficit in the peri-operative period. <\/jats:p>","DOI":"10.1302\/0301-620x.91b4.22008","type":"journal-article","created":{"date-parts":[[2009,3,31]],"date-time":"2009-03-31T21:53:04Z","timestamp":1238536384000},"page":"536-539","source":"Crossref","is-referenced-by-count":2,"title":["Delayed presentation of carotid artery dissection following major orthopaedic trauma resulting in dense hemiparesis"],"prefix":"10.1302","volume":"91-B","author":[{"given":"S. P.","family":"Edmundson","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedics"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. M.","family":"Hirpara","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. 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