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Journal of Neurosurgical Sciences 1999 September;43(3):195-9

Copyright © 1999 EDIZIONI MINERVA MEDICA

lingua: Inglese

Fatal basilar artery thrombosis after traumatic cervical facet dislocation. Case report

Vishteh A. G., Coscarella E., Nguyen B., Sonntag V. K. H., McDougall C. G.

Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph’s Hospital and Medical Center, Phoenix, Arizona - School of Medicine, University of California, Los Angeles


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The ­authors ­detail a ­rare ­case of bas­i­lar ­artery throm­bo­sis in a ­patient ­with trau­mat­ic cer­vi­cal ­spine fac­et dis­lo­ca­tion. Although ­the ­patient’s def­i­cits ­could initial­ly be ­explained by ­the spi­nal inju­ry, dete­ri­ora­tion to a “­locked-in-­state” ­could ­not. In addi­tion to ver­te­bral ­artery inju­ries, ­the bas­i­lar ­artery ­can ­also be indi­rect­ly ­involved in cas­es of cer­vi­cal ­spine trau­ma. In ­the ­rare ­viable ­patient, imme­di­ate reduc­tion of cer­vi­cal ­spine dis­lo­ca­tion ­may ­allow endo­vas­cu­lar throm­bol­y­sis, if ­not oth­er­wise con­tra­in­di­cat­ed.

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