Fatal basilar artery thrombosis after traumatic cervical facet dislocation. Case report.
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.
Vishteh
A G
AG
Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.
Coscarella
E
E
Nguyen
B
B
Sonntag
V K
VK
McDougall
C G
CG
D000328:Adult; D001488:Basilar Artery / Q000000981:diagnostic imaging / Q000473:pathology*; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries*; D006801:Humans; D020767:Intracranial Thrombosis / Q000473:pathology* / Q000503:physiopathology; D004204:Joint Dislocations / Q000000981:diagnostic imaging* / Q000473:pathology*; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D011859:Radiography; D014947:Wounds and Injuries / Q000000981:diagnostic imaging / Q000473:pathology