TY - JOUR
T1 - Temporary vertebral artery occlusion after C3 fracture dislocation injury and spontaneous resolution following reduction and instrumented fusion
T2 - Case report and literature review
AU - Yaeger, Kurt
AU - Mascitelli, Justin
AU - Kellner, Christopher
AU - Hickman, Zachary
AU - Mocco, J.
AU - Margetis, Konstantinos
PY - 2017/10
Y1 - 2017/10
N2 - 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.
AB - 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.
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U2 - 10.1136/neurintsurg-2016-012671
DO - 10.1136/neurintsurg-2016-012671
M3 - Review article
C2 - 27798854
AN - SCOPUS:85032443465
SN - 1759-8478
VL - 9
SP - 1027
EP - 1030
JO - Journal of neurointerventional surgery
JF - Journal of neurointerventional surgery
IS - 10
ER -