Traumatic vertebral artery dissection in an adult with brachial plexus injury and cervical spinal fractures

Abstract

We present a case of a 32 year-old right-hand dominant woman who sustained a right brachial plexus injury, ipsilateral fractures of the cervical spine transverse processes, and vertebral artery dissection. She presented to us four days following the initiating accident. Magnetic Resonance Imaging showed normal brachial plexus along with vertebral artery dissection with intramural thrombus and vascular lumen occlusion. The dissection was managed conservatively. A repeat CAT-SCAN Angiography three months later showed healing of the dissection plus vascular lumen re-canalization. There were no sequelae due to the dissection.The details of the case are discussed in this report.

Lesión de la arteria vertebral secundaria a trauma penetrante de cuello por arma corto-punzante

“…Usualmente la lesión de esta arteria no produce déficit neurológico, por lo tanto, permanece sin diagnóstico [17][18][19] . Sólo alrededor de 12 a 24 % de las lesiones unilaterales se presentan con signos y síntomas de isquemia vértebro-basilar 20 .…”