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.

ANZ Journal of SurgeryVolume 91, Issue 9 p. E591-E593 IMAGES FOR SURGEONS Regression of a large inflammatory abdominal aortic aneurysm with high-dose steroids James A. Kellie MBBS, James A. Kellie MBBS orcid.org/0000-0001-8216-8955 Department of Vascular Surgery, Royal Adelaide Hospital, Adelaide, South Australia, Australia Department of Vascular Surgery, Flinders Medical Centre, Adelaide, South Australia, Australia Contribution: Conceptualization, Data curation, Visualization, Writing - original draftSearch for more papers by this authorDenise Roach MD, FRACS, Denise Roach MD, FRACS Department of Radiology, Queen Elizabeth Hospital, Adelaide, South Australia, Australia Contribution: Conceptualization, Data curation, Supervision, Validation, Writing - review & editingSearch for more papers by this authorJoseph Dawson MBBS, ChM, MD, MRCS, FRCS, FRACS, Joseph Dawson MBBS, ChM, MD, MRCS, FRCS, FRACS Department of Vascular Surgery, The Queen Elizabeth Hospital, Adelaide, South Australia, Australia Contribution: Conceptualization, Data curation, Supervision, Validation, Visualization, Writing - review & editingSearch for more papers by this author James A. Kellie MBBS, James A. Kellie MBBS orcid.org/0000-0001-8216-8955 Department of Vascular Surgery, Royal Adelaide Hospital, Adelaide, South Australia, Australia Department of Vascular Surgery, Flinders Medical Centre, Adelaide, South Australia, Australia Contribution: Conceptualization, Data curation, Visualization, Writing - original draftSearch for more papers by this authorDenise Roach MD, FRACS, Denise Roach MD, FRACS Department of Radiology, Queen Elizabeth Hospital, Adelaide, South Australia, Australia Contribution: Conceptualization, Data curation, Supervision, Validation, Writing - review & editingSearch for more papers by this authorJoseph Dawson MBBS, ChM, MD, MRCS, FRCS, FRACS, Joseph Dawson MBBS, ChM, MD, MRCS, FRCS, FRACS Department of Vascular Surgery, The Queen Elizabeth Hospital, Adelaide, South Australia, Australia Contribution: Conceptualization, Data curation, Supervision, Validation, Visualization, Writing - review & editingSearch for more papers by this author First published: 23 January 2021 https://doi.org/10.1111/ans.16609Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume91, Issue9September 2021Pages E591-E593 RelatedInformation

Anomalous vascular anatomy was detected in the neck of a 52-year-old female with a Klippel-Feil anomaly. Ultrasound identified three separate arteries in the left carotid sheath without any branching or bifurcations. The vascular waveforms were used to identify the vessels as the internal carotid artery, external carotid artery and vertebral artery. This rare vascular anomaly was confirmed with CT angiography.

It is unclear whether incidental carotid artery calcification (CAC) on radiographs has a defined relationship to clinically significant carotid artery stenosis, and therefore risk of stroke. The primary objective of this study was to ascertain the relationship between dental radiograph detected carotid calcification and carotid artery stenoses ≥50% on carotid duplex ultrasound. We carried out an observational study of patients undergoing routine dental orthopantomogram (OPG) examinations. Consecutive patients with CAC on OPG were prospectively matched to those without CAC based on age and gender. Ultrasound of the carotid arteries was performed to determine the presence of stenosis (≥50%) in either vessel. Of 5780 consecutive OPG examinations with suitable images for analysis, CAC was detected in 10.8%. A total of 233 patients underwent carotid ultrasound (130 with and 103 without CAC on OPG). The prevalence of a clinically significant (≥50%) carotid stenosis on ultrasound was 15.4% (20/130) in those with CAC and 5.8% (6/103) for those without CAC on OPG. Incidental CAC detected on routine OPG requires both radiological reporting and clinical follow-up since 1 in 7 patients will have a clinically significant carotid artery stenosis as compared with 1 in 20 patients who do not have CAC. Trial Registration: Australian and New Zealand Clinical Trials Registry website (U1111-1148-1066). http://www.ANZCTR.org.au/ACTRN12613001038785.aspx.

ANZ Journal of SurgeryVolume 74, Issue 3 p. 107-107 Anatomic Exposures in Vascular Surgery. 2nd Edition Denise Roach, Denise Roach Vascular Surgery Unit The Queen Elizabeth Hospital Adelaide, South Australia, AustraliaSearch for more papers by this author Robert Fitridge, Robert Fitridge Vascular Surgery Unit The Queen Elizabeth Hospital Adelaide, South Australia, AustraliaSearch for more papers by this author Denise Roach, Denise Roach Vascular Surgery Unit The Queen Elizabeth Hospital Adelaide, South Australia, AustraliaSearch for more papers by this author Robert Fitridge, Robert Fitridge Vascular Surgery Unit The Queen Elizabeth Hospital Adelaide, South Australia, AustraliaSearch for more papers by this author First published: 01 March 2004 https://doi.org/10.1046/j.1445-2197.2003.02928.xRead the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume74, Issue3March 2004Pages 107-107 RelatedInformation