Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 26, 2024; 12(15): 2664-2671
Published online May 26, 2024. doi: 10.12998/wjcc.v12.i15.2664
Imaging characteristics and treatment strategies for carotid artery occlusion caused by skull base fracture: Three case reports
Pei-Xin Shangguan, Ke-Chun Zhou
Pei-Xin Shangguan, Ke-Chun Zhou, Department of Emergency, Lishui Municipal Central Hospital, Lishui 323000, Zhejiang Province, China
Author contributions: Zhou KC contributed to manuscript writing and editing, data collection and data analysis; Shangguan PX contributed to conceptualization and supervision. All authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: Author(s) certify that there is no conflict of interest related to the manuscript. If any potential conflict-of-interest exists, author(s) certify that it is fully disclosed.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ke-Chun Zhou, Doctor, Surgeon, Department of Emergency, Lishui Municipal Central Hospital, No. 298 Kuocang Road, Lishui 323000, Zhejiang Province, China. 247025921@qq.com
Received: February 15, 2024
Revised: March 14, 2024
Accepted: April 9, 2024
Published online: May 26, 2024
Core Tip

Core Tip: This article emphasizes the importance of rapid computed tomography angiography examination for patients with skull base fractures, to detect potential carotid artery occlusions. This condition significantly complicates the prognosis due to its rarity, high mortality, and severe disability rates. Through the analysis of three distinct cases, this study showcases varied imaging characteristics and underscores the critical role of early diagnosis and tailored treatment strategies, including anticoagulation and decompressive surgery, in managing this severe complication effectively.