Posttraumatic bilateral vertebral artery occlusion

Six, Eric G.; Stringer, W L; Cowley, A R; Davis, C H

doi:10.3171/jns.1981.54.6.0814

Cited by 45 publications

(14 citation statements)

References 26 publications

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“…4, 12,22,24,27,33,35,38,39) Unlike unilateral VA occlusion most in which only 20% of patients were symptomatic,") most patients with bilateral VA occlusion are symptomatic. Only one patient did not have any symptoms related to the bilateral VA occlusion,") possibly due to adequate collateral supply from the posterior communicating arteries .…”

Section: Discussionmentioning

confidence: 99%

Bilateral Vertebral Artery Occlusion Following Cervical Spine Trauma

Ozveren

Ziyal

Bejjani

et al. 1999

Neurol. Med. Chir.(Tokyo)

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A 41-year-old female presented with a rare case of bilateral vertebral artery occlusion following C5-6 cervical spine subluxation after a fall of 30 feet. Digital subtraction angiography showed occlusion of the bilateral vertebral arteries. Unlocking of the facet joint, posterior wiring with iliac crest grafting, and anterior fusion were performed. The patient died on the 3rd day after the operation. This type of injury has a grim prognosis with less than a third of the patients achieving a good outcome.

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Section: Discussionmentioning

confidence: 99%

Bilateral Vertebral Artery Occlusion Following Cervical Spine Trauma

Ozveren

Ziyal

Bejjani

et al. 1999

Neurol. Med. Chir.(Tokyo)

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“…6 5,21 The most initial injury mechanism of the artery is from either excessive stretching of vessel between two adjacent foramen transversarium, or direct lesion to the vessel wall. The mechanism of VAI was once thought to be hyperextension injury, 31,32 but recently distractive flexion was identified as a likelier cause. 4,13,17,26,34,35 Veras et al 11 / 16 reported 6 VAI patients injured in motor vehicle accidents; in all cases, the injury mechanism was flexion distraction.…”

Section: Discussionmentioning

confidence: 99%

Correlation of C2 Fractures and Vertebral Artery Injury

Ding¹,

Maltenfort²,

Yang³

et al. 2010

Spine

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“…Some authors regard hyperextension of the head with or without rotation and lateral flexion, other authors distraction-flexion injury resulting in unilateral or bilateral facet joint dislocation as the main risk factor [24, 26, 27]. Other possible risk factors reported are lateral dislocation as well as transverse process fracture [28, 29].…”

Section: Discussionmentioning

confidence: 99%

“…Cervical spine injury may lead to stretching and tearing of the vertebral artery which is tethered to the bone at different locations in its intravertebral course. Most commonly, vertebral artery injury is described as occurring at C5/6 when the vessel enters the foramen transversum, at the atlanto-axial level after it leaves the foramen transversum and at the atlanto-occipital level [26]. …”

Section: Discussionmentioning

confidence: 99%

Carotid and Vertebral Artery Injury following Severe Head or Cervical Spine Trauma

Rommel¹,

Niedeggen

Tegenthoff³

et al. 1999

Cerebrovasc Dis

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In order to determine the frequency of neck vessel injuries, Doppler investigations were performed in 60 patients following either severe head injury (n = 29), cervical spine injury (n = 26), or combined head and cervical spine injury (n = 5). The majority of patients were referred to our hospital for early rehabilitation; before admission Doppler investigations had been performed in only 2 patients. Clinically, 3 patients sustained severe cerebral ischemia due to neck vessel trauma: 1 patient with left-sided ICA dissection after head trauma revealed Doppler abnormalities only in the early phase of the disease; the second patient demonstrated persistent Doppler abnormalities due to traumatic right-sided ICA and VA occlusion. The third patient sustained a fatal vertebral and basilar artery thrombosis following cervical spine injury. In 57 patients without clinical signs suspicious of neck vessel trauma, sonography revealed abnormali- ties in 3 patients (11%) with severe head injury and in 6 patients (20%) with cervical spine or combined head and spine injury, in both groups mainly related to the vertebrobasilar system. Neck vessel injury is probably an underdiagnosed complication of severe head or cervical spine trauma. Although interpretation of Doppler findings may be difficult, particularly in the vertebrobasilar system, Doppler investigations can be recommended as a screening method to exclude neck vessel injuries.

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Posttraumatic bilateral vertebral artery occlusion

Cited by 45 publications

References 26 publications

Bilateral Vertebral Artery Occlusion Following Cervical Spine Trauma

Bilateral Vertebral Artery Occlusion Following Cervical Spine Trauma

Correlation of C2 Fractures and Vertebral Artery Injury

Carotid and Vertebral Artery Injury following Severe Head or Cervical Spine Trauma

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