title: A case of traumatic intracranial vertebral artery injury presenting with life-threatening symptoms.
abstract: Traumatic intracranial vertebral artery injury is a relatively rare but potentially fatal disease. We present a case of a 63-year-old man who presented with sudden onset of loss of consciousness after hitting his head. After immediate resuscitation, he showed quadriplegia and absence of spontaneous breathing. Brain and cervical spine magnetic resonance imaging revealed an atlantoaxial subluxation, fractured C2 odontoid process, left vertebral artery occlusion, and bilateral extensive ischemia in the medulla oblongata and high cervical spinal cord. Digital subtraction angiography demonstrated left vertebral artery dissection just below the level of vertebral body C2.
authors.affiliation: Department of Nephrology, Tokushima University Hospital, Kuramoto-cho Tokushima, Japan.
authors.forename: Seiji
authors.initials: S
authors.lastname: Kishi
authors.forename: Kenji
authors.initials: K
authors.lastname: Kanaji
authors.forename: Toshio
authors.initials: T
authors.lastname: Doi
authors.forename: Tadashi
authors.initials: T
authors.lastname: Matsumura
keywords: bilateral spinal cord infarction; brainstem infarction; neck trauma; vertebral artery dissection