Dickinson L D, Tuite G F, Colon G P, Papadopoulos S M
Department of Surgery, University of Michigan, Ann Arbor, USA.
Neurosurgery. 1995 Apr;36(4):835-8. doi: 10.1227/00006123-199504000-00026.
A 50-year-old man with myelopathy secondary to basilar impression developed bilateral vertebral artery dissection after undergoing treatment with 8 pounds of cervical traction. The vertebral artery dissection resulted in vertebrobasilar insufficiency and posterior circulation stroke. In this report, the current management philosophies in the treatment of basilar impression are discussed, and the pertinent neurovascular anatomy is illustrated. This report suggests that vertebral artery injury may result from attempted reduction of severe basilar impression. Regardless of the cause of cranial settling, the risk of vertebral artery injury with cervical traction should be considered in patients with severe basilar impression.
一名50岁患有继发于基底压迹的脊髓病的男性，在接受8磅颈椎牵引治疗后发生双侧椎动脉夹层。椎动脉夹层导致椎基底动脉供血不足和后循环卒中。在本报告中，讨论了目前治疗基底压迹的管理理念，并阐述了相关的神经血管解剖结构。本报告提示，严重基底压迹的复位尝试可能导致椎动脉损伤。无论颅骨沉降的原因如何，严重基底压迹患者在进行颈椎牵引时都应考虑椎动脉损伤的风险。
