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The patient underwent emergent thoracoabdominal surgery with subsequent clinical improvement. However, 4 days after the accident, anisocoria developed, and neuroimaging confirmed ischemic stroke due to traumatic carotid artery dissection. Anticoagulation and lipid-lowering therapy were initiated, and the patient successfully underwent the remaining orthopedic procedures without hemorrhagic complications. This report emphasizes that traumatic carotid artery dissection may occur even in the absence of concomitant cervical or cranial injuries, highlighting the importance of considering vascular injury in patients with severe trauma regardless of the mechanism of injury.<\/jats:p>","DOI":"10.20408\/jti.2025.0207","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:51:43Z","timestamp":1787100703000},"page":"297-301","update-policy":"https:\/\/doi.org\/10.20408\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Traumatic carotid artery dissection without head or neck trauma: a case report following thoracoabdominal crush injury"],"prefix":"10.20408","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3317-6857","authenticated-orcid":true,"given":"Shin-Ah","family":"Son","sequence":"first","affiliation":[{"name":"Trauma Center, Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"8308","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1159\/000504567","type":"journal-article"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.5758\/vsi.2016.32.1.1","type":"journal-article"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1989.71.6.0854","type":"journal-article"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199012000-00013","type":"journal-article"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-015-0689-0","type":"journal-article"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1097\/ta.0b013e318142d146","type":"journal-article"},{"key":"ref7","first-page":"543","type":"journal-article","volume-title":"Delayed presentation of carotid intimal tear following blunt craniocervical trauma","author":"Crissey","year":"1974"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1177\/0003319712475154","type":"journal-article"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1159\/000088156","type":"journal-article"},{"key":"ref10","first-page":"673","type":"journal-article","volume-title":"Endovascular treatment of carotid injury","author":"Martinakis","year":"2013"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1177\/1358863x11399328","type":"journal-article"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199605000-00007","type":"journal-article"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1159\/000353124","type":"journal-article"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.3995\/jstroke.32.167","type":"journal-article"}],"container-title":["Journal of Trauma and Injury"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/jtraumainj.org\/upload\/pdf\/jti-2025-0207.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/jtraumainj.org\/journal\/view.php?doi=10.20408\/jti.2025.0207","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/jtraumainj.org\/upload\/pdf\/jti-2025-0207.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T06:29:35Z","timestamp":1790749775000},"score":1,"resource":{"primary":{"URL":"http:\/\/jtraumainj.org\/journal\/view.php?doi=10.20408\/jti.2025.0207"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,30]]},"references-count":14,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"URL":"https:\/\/doi.org\/10.20408\/jti.2025.0207","relation":{},"ISSN":["2799-4317","2287-1683"],"issn-type":[{"value":"2799-4317","type":"print"},{"value":"2287-1683","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,30]]},"assertion":[{"value":"2025-08-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-19","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-30","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}