Temporary vertebral artery occlusion after C3 fracture dislocation injury and spontaneous resolution following reduction and instrumented fusion: Case report and literature review

Kurt Yaeger, Justin R Mascitelli, Christopher Kellner, Zachary Hickman, J. Mocco, Konstantinos Margetis

Research output: Contribution to journalReview article

Abstract

Vertebral artery injuries as a result of blunt trauma can result in vertebrobasilar strokes. Typical treatment of such an injury includes early anticoagulation to prevent cerebral ischemic events due to vessel occlusion or embolism. We present a case of cervical fracturedislocation injury and compression/occlusion of the right vertebral artery, which spontaneously resolved following surgical reduction and fusion. Postoperative cerebral angiography showed no evidence of vertebral artery stenosis, and systemic anticoagulation was discontinued. This case shows that vertebral artery occlusion can resolve spontaneously after fracture reduction, and cerebral angiography should play a role in assessing these complicated traumatic injuries.

Original languageEnglish (US)
Pages (from-to)1027-1030
Number of pages4
JournalJournal of NeuroInterventional Surgery
Volume9
Issue number10
DOIs
StatePublished - Oct 1 2017
Externally publishedYes

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ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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