Case ReportsCarotid Artery Thrombosis and Stroke after Blunt Pharyngeal InjuryMoriarty, Kevin P. MD; Harris, Burton H. MD; Benitez-Marchand, Karim MD Author Information From the Division of Pediatric Surgery, Tufts University, and the Kiwanis Pediatric Trauma Institute and New England Medical Center, Boston, Massachusetts, and the Division of Pediatric Surgery, Georgetown University, Washington, DC. This study was supported by a grant from the Kiwanis Foundation of New England. Address for reprints: Burton H. Harris, MD, Division of Pediatric Surgery (4-PHC), Georgetown University Medical Center, 3800 Reservoir Road, N.W., Washington, D.C. 20007. The Journal of Trauma: Injury, Infection, and Critical Care: March 1997 - Volume 42 - Issue 3 - p 541-543 Buy Abstract A 2-year-old child fell on a toothbrush, sustaining a pharyngeal injury. Eighteen hours later, localizing symptoms of a cerebrovascular accident became evident. Magnetic resonance angiography showed occlusion of the internal carotid artery and a cerebral infarction. She was treated with anticoagulation and made a complete recovery. Pharyngeal injuries may be complicated by internal carotid artery thrombosis and embolus. Management includes prompt diagnosis, anticoagulation, and carotid artery exploration in selected cases. © Williams & Wilkins 1997. All Rights Reserved.