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A case of traumatic intracranial vertebral artery injury presenting with life-threatening symptoms

Authors Kishi S, Kanaji K, Doi, Matsumura T

Received 16 February 2012

Accepted for publication 21 March 2012

Published 24 April 2012 Volume 2012:5 Pages 23—28


Review by Single anonymous peer review

Peer reviewer comments 3

Seiji Kishi1, Kenji Kanaji2, Toshio Doi1, Tadashi Matsumura2
1Department of Nephrology, Tokushima University Hospital, Kuramoto-cho Tokushima, 2Department of General Internal Medicine, Rakuwakai Otowa Hospital, Otowachinji-cho Yamashina-ku Kyoto, Japan

Abstract: Traumatic intracranial vertebral artery injury is a relatively rare but potentially fatal disease. We present a case of a 63-year-old man who presented with sudden onset of loss of consciousness after hitting his head. After immediate resuscitation, he showed quadriplegia and absence of spontaneous breathing. Brain and cervical spine magnetic resonance imaging revealed an atlantoaxial subluxation, fractured C2 odontoid process, left vertebral artery occlusion, and bilateral extensive ischemia in the medulla oblongata and high cervical spinal cord. Digital subtraction angiography demonstrated left vertebral artery dissection just below the level of vertebral body C2.

Keywords: vertebral artery dissection, brainstem infarction, bilateral spinal cord infarction, neck trauma

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