The case of a patient with blunt traumatic internal carotid artery dissection associated with subocclusive stenosis and thromoboembolic complication is presented. The patient suffered fluctuant neurological abnormalities and several open and closed fractures of the left limb. The vascular lesion and its complication were successfully treated with intraarterial thrombolysis and stent placement during the acute phase, prior to the open surgical treatment of the fractures.