Traumatic pseudoaneurysm of the internal carotid artery presenting with oculosympathetic palsy

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Blunt internal carotid artery (ICA) injury is rare but undiagnosed can have disastrous clinical consequences.


To report a late presentation of blunt ICA injury in a young male following a road traffic accident.


A 16-year-old male presented 11 days following a head injury with a unilateral Horner's syndrome. Imaging confirmed a pseudoaneurysm of the ICA. The patient was treated with anticoagulant therapy.


Diagnosis of ICA injury requires a high index of suspicion and presentation with unusual neurological signs following blunt trauma to the head and neck requires prompt investigation.

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