Key result
Vasopressors stabilize blood pressure and achieve recovery in traumatic carotid artery dissection with refractory hypotension.
Why the study?
Hypotension following traumatic carotid artery dissection is rare, and most reported cases in the literature are accompanied by bradycardia.
Case Report (n=1)
No
Demonstrates that traumatic carotid artery dissection can present atypically with isolated hypotension without bradycardia and can be effectively managed conservatively with vasopressors (noradrenaline and midodrine) in resource-constrained settings.
Answers are grounded in this paper and cite their sources.
Persistent hypotension without bradycardia may occur after traumatic carotid dissection; case report leaves open whether this variant alters management.
Hypotension following traumatic carotid artery dissection is rare, with most reported cases in the literature accompanied by bradycardia. We present a unique case of a 34‐year‐old man who sustained a unilateral traumatic carotid artery dissection following an automobile accident and presented with persistent hypotension but no bradycardia. Initial imaging revealed a hyperacute infarct in the right middle cerebral artery territory. The patient was successfully managed with vasopressors, including noradrenaline and midodrine, leading to blood pressure stabilization and eventual recovery. This case highlights the rare occurrence of hypotension without bradycardia after traumatic carotid artery dissection and demonstrates that conservative management with vasopressors can be effective in resource‐constrained settings where surgical intervention is limited.
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Aryee et al. (2026) conducted a case report in Unilateral traumatic carotid artery dissection with persistent hypotension without bradycardia (n=1). Vasopressors (noradrenaline and midodrine) was evaluated on Blood pressure stabilization and clinical recovery. Conservative management with noradrenaline and midodrine stabilized blood pressure and led to recovery in a 34-year-old man with traumatic carotid artery dissection and hypotension without bradycardia.
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