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斜坡骨折致创伤性基底动脉嵌顿后的闭锁综合征:一例报告并文献复习

Locked-In Syndrome after Traumatic Basilar Artery Entrapment within a Clivus Fracture: A Case Report and Review of the Literature.

作者信息

Lagrand Tjerk J, Bruijnes Vincent A J, Van der Stouwe A M Madeleine, Deckers Eric A, Mazuri Aryan, Jacobs Bram

机构信息

Department of Neurology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.

Department of Radiology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.

出版信息

Neurotrauma Rep. 2020 Sep 14;1(1):73-77. doi: 10.1089/neur.2020.0015. eCollection 2020.

DOI:10.1089/neur.2020.0015
PMID:34223532
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8240890/
Abstract

We report the case of a 58-year-old male with a rare vascular complication after traumatic head injury: entrapment of the basilar artery into a fracture of the clivus, ultimately leading to a locked-in syndrome due to brainstem infarction. Review of the literature revealed 19 earlier published cases of basilar artery entrapment within traumatic longitudinal clival fractures. In the majority of these patients there is an unfavorable neurological outcome.

摘要

我们报告了一例58岁男性在创伤性颅脑损伤后出现罕见血管并发症的病例:基底动脉陷入斜坡骨折,最终因脑干梗死导致闭锁综合征。文献回顾显示,此前已发表19例创伤性纵向斜坡骨折中基底动脉陷入的病例。在这些患者中,大多数神经功能预后不佳。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e957/8240890/3e2554a92902/neur.2020.0015_figure3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e957/8240890/ad9681050540/neur.2020.0015_figure1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e957/8240890/2b6f50cfde0c/neur.2020.0015_figure2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e957/8240890/3e2554a92902/neur.2020.0015_figure3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e957/8240890/ad9681050540/neur.2020.0015_figure1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e957/8240890/2b6f50cfde0c/neur.2020.0015_figure2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e957/8240890/3e2554a92902/neur.2020.0015_figure3.jpg

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本文引用的文献

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Acad Forensic Pathol. 2017 Sep;7(3):453-468. doi: 10.23907/2017.038. Epub 2017 Sep 1.
2
Entrapment of the basilar artery within a clivus fracture: Case report and literature review.斜坡骨折致基底动脉受压:病例报告及文献复习
Neurochirurgie. 2019 Aug;65(4):191-194. doi: 10.1016/j.neuchi.2019.03.123. Epub 2019 May 13.
3
Endovascular Intervention in Basilar Artery Entrapment within the Longitudinal Clivus Fracture: A Case Report.
Ther Adv Neurol Disord. 2023 Mar 29;16:17562864231160873. doi: 10.1177/17562864231160873. eCollection 2023.
纵向斜坡骨折致基底动脉受压的血管内介入治疗:一例报告
Neurol Med Chir (Tokyo). 2018 Aug 15;58(8):356-361. doi: 10.2176/nmc.cr.2017-0197. Epub 2018 Jun 20.
4
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World Neurosurg. 2017 Feb;98:878.e7-878.e10. doi: 10.1016/j.wneu.2016.11.068. Epub 2016 Nov 22.
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BMJ Case Rep. 2016 Sep 19;2016:bcr2016012558. doi: 10.1136/bcr-2016-012558.
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