颈椎骨折脱位后双侧椎动脉闭塞
Bilateral Vertebral Artery Occlusion After Cervical Spine Fracture Dislocation.
作者信息
Strickland Ben, Lewis Courtney S, Pham Martin H
机构信息
Department of Neurosurgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Department of Neurosurgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
出版信息
World Neurosurg. 2019 Apr;124:304-309. doi: 10.1016/j.wneu.2019.01.033. Epub 2019 Jan 23.
BACKGROUND
Vertebral artery injury is known to potentially occur in conjunction with blunt cervical spine trauma. Rarely, these injuries present bilaterally as complete occlusions. Twelve cases of bilateral vertebral artery occlusions after closed cervical spine trauma have been described in the reported data, nearly all of which demonstrated signs and symptoms of vertebrobasilar insufficiency and ischemia.
CASE DESCRIPTION
Our patient presented after a traumatic C5-C6 flexion-distraction injury that had resulted in bilateral locked facets and spinal cord injury and bilateral vertebral artery occlusions at the V1 segment. However, our patient did not show any cranial symptoms despite his neurovascular injury.
CONCLUSIONS
We present our patient's case as a rare illustration of a bilateral vertebral artery occlusion after blunt cervical spine trauma without clinical vertebrobasilar ischemic sequelae.
背景
已知椎动脉损伤可能与钝性颈椎创伤同时发生。这些损伤很少双侧出现完全闭塞。在已报道的数据中，有12例闭合性颈椎创伤后双侧椎动脉闭塞的病例，几乎所有病例都表现出椎基底动脉供血不足和缺血的体征和症状。
病例描述
我们的患者在发生C5-C6屈曲-牵张性损伤后就诊，该损伤导致双侧小关节交锁、脊髓损伤以及V1段双侧椎动脉闭塞。然而，尽管存在神经血管损伤，我们的患者并未表现出任何颅脑症状。
结论
我们展示该患者的病例，作为钝性颈椎创伤后双侧椎动脉闭塞但无临床椎基底动脉缺血后遗症的罕见例证。
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