• J Neurointerv Surg · Oct 2017

    Review Case Reports

    Temporary vertebral artery occlusion after C3 fracture dislocation injury and spontaneous resolution following reduction and instrumented fusion: case report and literature review.

    • Kurt Yaeger, Justin Mascitelli, Christopher Kellner, Zachary Hickman, J Mocco, and Konstantinos Margetis.
    • Department of Neurological Surgery, Cerebrovascular Center, Icahn School of Medicine, Mount Sinai Hospital, New York, New York, USA.
    • J Neurointerv Surg. 2017 Oct 1; 9 (10): 1027-1030.

    AbstractVertebral artery injuries as a result of blunt trauma can result in vertebrobasilar strokes. Typical treatment of such an injury includes early anticoagulation to prevent cerebral ischemic events due to vessel occlusion or embolism. We present a case of cervical fracture-dislocation injury and compression/occlusion of the right vertebral artery, which spontaneously resolved following surgical reduction and fusion. Postoperative cerebral angiography showed no evidence of vertebral artery stenosis, and systemic anticoagulation was discontinued. This case shows that vertebral artery occlusion can resolve spontaneously after fracture reduction, and cerebral angiography should play a role in assessing these complicated traumatic injuries.Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

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