{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T18:09:23Z","timestamp":1790791763461,"version":"4.1.0"},"reference-count":18,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1989,12]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 Early diagnosis and successful management of traumatic carotid artery dissections require a high index of clinical suspicion. The diagnostic study of choice is cerebral arteriography. In this paper, 24 cases of traumatic carotid artery dissection are described. Presenting signs and symptoms include Horner's syndrome, dysphasia, hemiparesis, obtundation, and monoparesis. Patients detected early with mild neurological deficits fared well with treatment, while those with profound neurological deficits and delayed diagnoses had poor outcomes. Aggressive nonsurgical treatment is advocated including anticoagulation therapy for prevention of progressive thrombosis and arterial occlusion and\/or distal arterial embolization with resultant cerebral ischemia. Direct surgical thromboendarterectomy is considered to carry high morbidity and mortality rates.<\/jats:p>","DOI":"10.3171\/jns.1989.71.6.0854","type":"journal-article","created":{"date-parts":[[2009,5,8]],"date-time":"2009-05-08T16:16:14Z","timestamp":1241799374000},"page":"854-857","source":"Crossref","is-referenced-by-count":69,"title":["Traumatic carotid artery dissection: diagnosis and treatment"],"prefix":"10.3171","volume":"71","author":[{"given":"Clarence B.","family":"Watridge","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael S.","family":"Muhlbauer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robbie D.","family":"Lowery","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1227\/00006123-197908000-00001","article-title":"Blunt trauma to the high cervical carotid artery.","volume":"5","author":"Batzdorf","year":"1979"},{"key":"b2","series-title":"Arch Neurol","doi-asserted-by":"publisher","first-page":"1234","DOI":"10.1001\/archneur.1986.00520120019010","article-title":"Cervicocephalic arterial dissections. A ten-year experience.","volume":"43","author":"Biller","year":"1986"},{"key":"b3","series-title":"Neurosurgery","first-page":"213","article-title":"Comment on Friedman WA, Day AL, Quisling RG, et al: Cervical carotid dissecting aneurysms.","volume":"7","author":"Correll","year":"1980"},{"key":"b4","series-title":"Neuroradiology","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1007\/BF00333294","article-title":"Injury of the carotid and vertebral arteries.","volume":"25","author":"Davis","year":"1983"},{"key":"b5","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1227\/00006123-198009000-00001","article-title":"Cervical carotid dissecting aneurysms.","volume":"7","author":"Friedman","year":"1980"},{"key":"b6","series-title":"Stroke","doi-asserted-by":"publisher","first-page":"925","DOI":"10.1161\/01.STR.16.6.925","article-title":"Dissections.","volume":"16","author":"Hart","year":"1985"},{"key":"b7","series-title":"Neurosurgery","first-page":"213","article-title":"Comment on Friedman WA, Day AL, Quisling RG, et al: Cervical carotid dissecting aneurysms.","volume":"7","author":"Kelly","year":"1980"},{"key":"b8","series-title":"Lancet","first-page":"926","article-title":"Traumatic thrombosis of the internal carotid artery.","volume":"2","author":"Little","year":"1969"},{"key":"b9","series-title":"Neurosurgery","first-page":"201","article-title":"Comment on Batzdorf U, Bentson JR, Machleder HI: Blunt trauma to the high cervical carotid artery.","volume":"5","author":"Maroon","year":"1979"},{"key":"b10","series-title":"Neurosurgery","first-page":"753","article-title":"Comment on Scherman BM, Tucker WS: Bilateral traumatic thrombosis of the internal carotid arteries in the neck: a case report with review of the literature.","volume":"10","year":"1982"},{"key":"b11","series-title":"Neurosurgery","first-page":"130","article-title":"Comment on Stringer WL, Kelly DL Jr: Traumatic dissection of the extracranial internal carotid artery.","volume":"6","year":"1980"},{"key":"b12","series-title":"Neurosurgery","first-page":"130","article-title":"Comment on Stringer WL, Kelly DL Jr: Traumatic dissection of the extracranial internal carotid artery.","volume":"6","year":"1980"},{"key":"b13","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"751","DOI":"10.1227\/00006123-198206010-00014","article-title":"Bilateral traumatic thrombosis of the internal carotid arteries in the neck: a case report with review of the literature.","volume":"10","author":"Scherman","year":"1982"},{"key":"b14","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1227\/00006123-198002000-00002","article-title":"Traumatic dissection of the extracranial internal carotid artery.","volume":"6","author":"Stringer","year":"1980"},{"key":"b15","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"169","DOI":"10.3171\/jns.1986.64.2.0169","article-title":"Surgical management of aneurysms of the distal extracranial internal carotid artery.","volume":"64","author":"Sundt","year":"1986"},{"key":"b16","series-title":"Bull Acad Natl Med","first-page":"46","article-title":"Contusions multiples; d\u00e9lire violent; h\u00e9miplegie \u00e0 droite, signes de compression c\u00e9r\u00e9brales.","volume":"36","author":"Verneuil","year":"1872"},{"key":"b17","series-title":"J Trauma","doi-asserted-by":"publisher","first-page":"333","DOI":"10.1097\/00005373-196705000-00001","article-title":"Carotid artery occlusion due to nonpenetrating injury.","volume":"7","author":"Yamada","year":"1967"},{"key":"b18","series-title":"Neurosurgery","first-page":"753","article-title":"Comment on Scherman BM, Tucker WS: Bilateral traumatic thrombosis of the internal carotid arteries in the neck: a case report with review of the literature.","volume":"10","author":"Yashon","year":"1982"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/71\/6\/article-p854.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/71\/6\/article-p854.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/71\/6\/article-p854.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,26]],"date-time":"2023-03-26T21:36:28Z","timestamp":1679866588000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/71\/6\/article-p854.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1989,12]]},"references-count":18,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.3171\/jns.1989.71.6.0854","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1989,12]]}}}