A case of cerebellar infarction caused by vertebral artery injury from a stab wound to the neck

Park, Jung Je; Shim, Hyun Seok; Jeong, Jae Ho; Whang, Soo Hyun; Kim, Jin Pyeong; Jeon, Sea Yuong; Kwon, Ohmyoung

doi:10.1016/j.anl.2006.10.001

Cited by 13 publications

(13 citation statements)

References 7 publications

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Section: Discussionmentioning

confidence: 99%

“…On the contrary, if the opposite side is underdeveloped, the embolism can cause complications, such as fatal infarction in the midbrain and cerebellum [11]. Hence, in that case, surgical repair of the blood vessel was preferred [11]. However, Khoie et al [12] and Dolati et al [13] reported cases of a traumatic VA pseudoaneurysm treated successfully using an endovascular stent graft to preserve the VA. Dolati et al reported that pseudoaneurysm rupture remains a potential complication in the early post-procedural period [13]; hence, in case there is no massive bleeding and patients are hemodynamically stable, using an endovascular stent graft is a very good choice.…”

Section: Discussionmentioning

confidence: 99%

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Vertebral artery injury caused by glass remnants in the neck: A case report

Mizuno

Shinohara

Omura

et al. 2019

Acta Oto-Laryngologica Case Reports

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Vertebral artery (VA) injuries following trauma to the neck are uncommon. We treated a case of VA injury in an 82-year-old man presented to a hospital with penetrating neck injuries caused by broken glass and underwent surgery for retrieval of the pieces. After the surgery, he complained about hoarseness, computed tomography scan showed glass remnants in his neck, damaging the right VA and forming a pseudoaneurysm. Thereafter, he came to our hospital seeking treatment for the injured VA. Severe bleeding may have occurred during exploration around the pseudoaneurysm; hence, we performed interventional angiography and occluded the right VA, followed by neck surgery. Five days after embolization, we performed the surgery to remove the glasses. There was no bleeding during and after the operation, and the patient was discharged without any complication. In this case report, we discuss the management of VA injury and review the relevant medical literature. ARTICLE HISTORY

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Vertebral artery injury caused by glass remnants in the neck: A case report

Mizuno

Shinohara

Omura

et al. 2019

Acta Oto-Laryngologica Case Reports

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“…In a situation with an actively bleeding vertebral artery with difficult vascular control, damage control surgery in the neck with packing is an option if bleeding can be controlled in this manner. [ 1 2 ] The collaterals are usually sufficient not to cause an ischemic stroke.…”

Section: Discussionmentioning

confidence: 99%

“…However, a case of cerebellar infarction has been reported. [ 2 ] We report a rare case of isolated penetrating stab injury to vertebral artery that expired due to cerebellar and brainstem infarction. This emphasizes that thorough evaluation and timely management of suspected injuries to even a single vertebral artery should be undertaken.…”

Section: Introductionmentioning

confidence: 99%

Lethal penetrating stab injury to the vertebral artery: A case report with review of literature

2016

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The vertebral arteries are rarely injured in penetrating neck trauma due to their deep location in the foramen transversarium. These injuries in isolation are not associated with neurological deficits or ischemic changes on radiology as the collaterals are usually sufficient. We report a case of fatal unilateral vertebral artery stab injury leading to bilateral cerebellar and brainstem infarction. The carotid Doppler ruled out the presence of any carotid artery injury. Life-threatening injuries are possible in the presence of hypoplastic contralateral vertebral artery or inadequate flow from the anterior circulation not making up for the deficit. This emphasizes that thorough evaluation and timely management of suspected injuries to even a single vertebral artery should be undertaken.

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“…As for cervical locations, vascular complications seem to be an important fact that should not be ignored in emergency diagnostics. Injury to vertebral artery due to stab wound may occur ipsi- or contralaterally; it may also result in cerebellar infarction [26, 48, 63]. Late consequences of cervical penetrating injury may include pathological processes in vertebral bodies [41].…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Pediatric arrowshot injury to cervical spinal cord-sagittal cord transection with no neurological deficit and good outcome: case report and review of literature

Skadorwa

Ciszek

2013

Childs Nerv Syst

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BackgroundPenetrating spinal cord injuries (PSCI) in cervical region are extremely rare in children. They mostly occur in a mechanism of a gunshot or a stab injury with the use of sharp objects. Gunshot injuries are usually fatal or end up with tetraplegia. Stab wounds may be less severe and result in partial neurological syndrome. In the management of PSCI in children, reliable diagnostics and history of the patient are the most valuable for further decisions, which include early or delayed exploration either nonsurgical treatment. There exist no clear algorithm for antibiotic use in pediatric population—it depends on the site of an injury, presence of pathological secretion from the wound, and nature of the trauma. The use of steroids is controversial. The most common complications related to surgery include infections, edema, and hemorrhage. They may also be associated with the migration of small residual microtraumatizing agent. The literature lacks algorithms for management in children.DiscussionIn this paper, an unusual case of almost total sagittal cervical cord transection is reported. The patient had no neurological symptoms and recovered with no complications. Diagnostic imaging on admission included X-ray and computed tomography. The patient underwent early surgical intervention with removal of foreign body from the cord and subsequent dural suturing. In the paper, the role of detailed history taking, adequate imaging, and drugs administration is discussed. The choice of distinct strategies is analyzed, and a revised literature review is presented in order to unify the management algorithm for pediatric PSCI.

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A case of cerebellar infarction caused by vertebral artery injury from a stab wound to the neck

Cited by 13 publications

References 7 publications

Vertebral artery injury caused by glass remnants in the neck: A case report

Vertebral artery injury caused by glass remnants in the neck: A case report

Lethal penetrating stab injury to the vertebral artery: A case report with review of literature

Pediatric arrowshot injury to cervical spinal cord-sagittal cord transection with no neurological deficit and good outcome: case report and review of literature

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