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Stroke from traumatic arterial dissection

1999; Elsevier BV; Volume: 354; Issue: 9173 Linguagem: Inglês

10.1016/s0140-6736(05)75290-9

1474-547X

Joseph Emmerich, Jean‐Noël Fiessinger,

Restraint-Related Deaths

A M Malek and colleagues1Malek AM Higashida RT Phatouros CC Halbach VV A strangled wife.Lancet. 1999; 353: 1324Summary Full Text Full Text PDF PubMed Scopus (11) Google Scholar report a young woman with bilateral internal carotid stenosis after manual strangulation. This case reminds us of a 40-year-old woman who was admitted to our department for isolated left internal jugular vein thrombosis. No risk factor for thrombosis was found, including the use of oestrogen, ovarian hyperstimulation, or antiphospholipid antibody syndrome. Antithrombin, protein C, protein S, and activated protein C resistance were within the normal range. When questioned about possible direct trauma to her neck, she reported that her husband had tried to strangle her 3 weeks before. Evolution was uncomplicated after 3 months of oral anticoagulant.Internal jugular vein thrombosis, an unusual site of venous thrombosis, has been described mainly in patients with ovarian hyperstimulation syndrome,2Ellis MH Nun IB Rathaus V Werner M Shenkman L Internal jugular vein thrombosis in patients with ovarian hyperstimulation sydnrome.Fertil Steril. 1998; 69: 140-142Summary Full Text PDF PubMed Scopus (51) Google Scholar after trauma or cervical traction.3Duke BJ Ryu RK Brega KE Coldwell DM Traumatic bilateral jugular vein thrombosis: case report and review of the literature.Neuro surgery. 1997; 41: 680-683PubMed Google Scholar, 4Simmers TA Bekkenk MW Vidakovic-Vukic M Internal jugular vein thrombosis after cervical traction.J Intern Med. 1997; 241: 333-335Crossref PubMed Scopus (12) Google Scholar Both carotid artery dissection and unexplained isolated thrombosis of jugular vein must raise the question of strangulation and domestic violence. A M Malek and colleagues1Malek AM Higashida RT Phatouros CC Halbach VV A strangled wife.Lancet. 1999; 353: 1324Summary Full Text Full Text PDF PubMed Scopus (11) Google Scholar report a young woman with bilateral internal carotid stenosis after manual strangulation. This case reminds us of a 40-year-old woman who was admitted to our department for isolated left internal jugular vein thrombosis. No risk factor for thrombosis was found, including the use of oestrogen, ovarian hyperstimulation, or antiphospholipid antibody syndrome. Antithrombin, protein C, protein S, and activated protein C resistance were within the normal range. When questioned about possible direct trauma to her neck, she reported that her husband had tried to strangle her 3 weeks before. Evolution was uncomplicated after 3 months of oral anticoagulant. Internal jugular vein thrombosis, an unusual site of venous thrombosis, has been described mainly in patients with ovarian hyperstimulation syndrome,2Ellis MH Nun IB Rathaus V Werner M Shenkman L Internal jugular vein thrombosis in patients with ovarian hyperstimulation sydnrome.Fertil Steril. 1998; 69: 140-142Summary Full Text PDF PubMed Scopus (51) Google Scholar after trauma or cervical traction.3Duke BJ Ryu RK Brega KE Coldwell DM Traumatic bilateral jugular vein thrombosis: case report and review of the literature.Neuro surgery. 1997; 41: 680-683PubMed Google Scholar, 4Simmers TA Bekkenk MW Vidakovic-Vukic M Internal jugular vein thrombosis after cervical traction.J Intern Med. 1997; 241: 333-335Crossref PubMed Scopus (12) Google Scholar Both carotid artery dissection and unexplained isolated thrombosis of jugular vein must raise the question of strangulation and domestic violence.