A case report of blunt intraoral cerebrovascular injury in a child following intraoral trauma: The pen is mightier than the sword

Abstract

Carotid artery dissection in the paediatric population is uncommon and in rare cases it can be due to intraoral blunt trauma associated with a stick-like object such as pen or chopstick in the mouth at the time of injury. Given the rarity of the condition, there is significant knowledge gap in evidence-based diagnosis and management of paediatric blunt cerebrovascular injury (BCVI). This case report presents a rare case of asymptomatic carotid artery dissection due to intraoral blunt trauma in a young patient and the successful conservative management. This report also demonstrated the sonographic progression of the carotid artery dissection on follow up imaging.

Keywords

• Carotid
• Dissection
• Intraoral
• Blunt
• Trauma
• Paediatric