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  1. Mohd Razaleigh Yusof, Tony Yong Yee Kong, Andee Dzulkarnaen Zakaria
    There has been an increase in the number of Motor
    Vehicle Accidents (MVA) in Malaysia throughout
    the years. Although blunt neck injury is uncommon,
    it is associated with severe, permanent neurological
    deficit with risk of mortality. This case is a classical
    presentation of a young male involved in a MVA who
    sustained head and neck injuries of varying severity.
    After a short symptom free interval, the patient
    started to develop neurological signs. Presenting signs
    and symptoms include Horner’s syndrome, dysphasia,
    hemiparesis, obtundation or monoparesis. A computed
    tomography (CT) scan of brain must be done and if the
    findings showed that there is no intracranial bleeding
    (ICB), high suspicions with further evaluation should
    be done. Confirmation can be obtained by Doppler
    ultrasonography, magnetic resonance imaging, magnetic
    resonance angiography (MRA), CT angiography (CTA)
    or catheter angiography to rule out carotid artery injury.
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