Tekiner Ayhan, Gokcek Cevdet, Bayar Mehmet Akif, Erdem Yavuz, Kilic Celal
Ministry of Health, Ankara Training and Research Hospital, Department of Neurosurgery, Ankara, Turkey.
Turk Neurosurg. 2011 Jan;21(1):90-3.
Injuries of the vertebral artery are rare and are usually seen after penetrating or blunt cervical trauma. Vertebral artery injuries (VAI) have been reported in 0.5% of blunt trauma cases. These injuries can lead to hemorrhage, thrombosis, arteriovenous fistula or traumatic pseudoaneurysm in the early or late period. They must be treated carefully due to their increased risk of morbidity and mortality. In this case report, we present a case of asymptomatic traumatic vertebral artery pseudoaneurysm(TVAP) seen after cervical spinal trauma with C5-C6 listhesis developing afterwards, treated with anterior-posterior stabilization and fusion. Spontaneous resolution of the pseudoaneurysm is demonstrated by vertebral arter angiogrphy.
椎动脉损伤较为罕见，通常见于穿透性或钝性颈部创伤后。在0.5%的钝性创伤病例中曾有椎动脉损伤（VAI）的报道。这些损伤可在早期或晚期导致出血、血栓形成、动静脉瘘或创伤性假性动脉瘤。由于其发病和死亡风险增加，必须谨慎治疗。在本病例报告中，我们呈现了1例颈椎脊髓创伤后出现无症状创伤性椎动脉假性动脉瘤（TVAP）的病例，随后发生C5 - C6椎体滑脱，采用前后路固定融合治疗。椎动脉血管造影显示假性动脉瘤自发消退。
