Incarceration of the Basilar Artery in a Longitudinal Fracture of the Clivus: Case Report and Literature Review

Longitudinal clivus fracture associated with trapped basilar artery: unusual survival with good neurological recovery

“…This may have prevented progressive thrombosis, although it remains unproven. 5;6 The only other case report to have used an anti-platelet agent was Taguchi et al 10 They also reported functional recovery in their patient although the patient remained quadriparetic. …”

“…This unusual phenomenon has been associated with high mortality and morbidity. To date, there are 10 reported cases with only two cases of survival with severe disability (quadriparesis 10 and vegetative 11 state, respectively). We present a patient in whom such an injury was associated with a good neurological outcome.…”

Traumatic Longitudinal Clival Fracture in a Child -Case Report-

“…4) Longitudinal clival 4,7,8,11,14) Most cases of longitudinal clival fracture resulted in death (mortality rate 67-80%) or residual disability of the patient (mean age 40 years). Only four adult patients 2,7,11) (18,20,32, and 42 years old) suffered minimal neurological damage. Traumatic severe brain damage is often discovered in addition to brain stem damage or vascular accident in patients with clivus fracture.…”

“…Traumatic severe brain damage is often discovered in addition to brain stem damage or vascular accident in patients with clivus fracture. 3,7,[12][13][14][15]18) Our case also illustrates the frontal contusion and traumatic subarachnoid hemorrhage which are regarded as the factors which cause the initial unconsciousness after an occiput impact.…”

“…3) A total of 51 cases of fractures of the clivus due to head injury have been reported, mostly in adults who suffered serious vascular and cranial nerve damage. [1][2][3][4][5][7][8][9][10][11][12][13][14][15][16][17][18] Longitudinal clival fractures were identified in 29 cases, including four in children.…”