Carotid dissection: a stroke of insight into safer work conditions

Abstract

A 51-year-old man was admitted to hospital on the basis of dysarthria, left-side facial paralysis, pharyngitis, proximal loss of vision, left-arm paresis, and asphyxiation. Through various neurological testing, the patient was confirmed to have an ischemic stroke caused by an arterial dissection with a subintimal hematoma in the area of the carotid artery (carotid dissection). The patient was released from the hospital 3 days after being admitted with post-incident treatment instructions to ensure recovery. In this case study, detailed clinical assessments, radiological findings, and therapeutic interventions will be reviewed to provide a holistic understanding of the patient's journey from injury to recovery. Through a meticulous analysis of real-life patient care, this thesis aims to help highlight the early symptoms of strokes and their impact on individuals, particularly those in physically demanding and dangerous work conditions, such as the patient, who worked as a roofer. By shedding light on the unique challenges faced by individuals in such occupations, I seek to contribute to the growing body of knowledge in stroke medicine. Ultimately, the goal is to improve clinical management and outcomes for individuals affected by carotid dissection while advocating for safer working conditions for those at risk. Keywords: Psychology, Psychobiology, Evolutionary Studies, Honors, Neuroscience, Neurology, Carotid Dissection, Stroke, Medicine, Work Conditions