Fitzgerald L F, Simpson R K, Trask T
Department of Neurosurgery, Baylor College of Medicine, Houston, TX 77030, USA.
J Trauma. 1997 Jan;42(1):147-9. doi: 10.1097/00005373-199701000-00028.
A patient sustained a cervical spine gunshot wound resulting in immediate quadriplegia and obstruction of both vertebral arteries. After an 8-hour delay, basilar artery thrombosis occurred and resulted in locked-in syndrome. Bilateral occlusion of the vertebral arteries after penetrating cervical trauma has not been reported previously. The incidence and treatment of traumatic basilar thrombosis and locked-in syndrome is reviewed. Rapid diagnosis of ascending thrombosis and prompt treatment with hyperdynamics and anticoagulation may improve outcome.
一名患者颈部脊柱遭受枪伤，当即出现四肢瘫痪，双侧椎动脉阻塞。延迟8小时后，基底动脉血栓形成，导致闭锁综合征。颈椎穿透伤后双侧椎动脉闭塞此前未见报道。本文对创伤性基底动脉血栓形成和闭锁综合征的发病率及治疗进行了综述。对上行性血栓形成进行快速诊断并采用强力疗法和抗凝进行及时治疗可能会改善预后。
