Forensic and clinical issues in a case of motorcycle blunt trauma and bilateral carotid artery dissection

Internal carotid artery dissection (ICAD) following motorcycle accidents is unusual but life-threatening if not promptly diagnosed and treated. We report the case of motorcyclist involved in a frontal collision with a car, suffering injuries due to direct blunt trauma, and to indirect trauma by sudden deceleration force. Bilateral ICAD was diagnosed by Computed tomography angiogram five days after the accident. Here in, starting from a medico legal case we emphasized some clinical criteria to make a promptly diagnosis to prevent permanent neurological deficit in this pathology whose best management is still under the debate. An unusual case of ICAD is described with regard to both forensic and promptly diagnostic therapeutic management.