Delayed Vertebral Artery Dissection after Posterior Cervical Fusion with Traumatic Cervical Instability: A Case Report.
10.14245/kjs.2015.12.2.79
- Author:
Chang Hyun OH
1
;
Gyu Yeul JI
;
Seung Hwan YOON
;
Dongkeun HYUN
;
Eun Young KIM
;
Hyeonseon PARK
;
A Reum JANG
Author Information
1. Department of Neurosurgery, Guro Teun Teun Research Institute, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Cervical trauma;
Cervical fusion;
Cerebral infarction;
Vertebral artery dissection;
Embolism
- MeSH:
Cerebral Infarction;
Embolism;
Female;
Humans;
Infarction;
Middle Aged;
Odontoid Process;
Paresis;
Seizures;
Vascular System Injuries;
Vertebral Artery Dissection*
- From:Korean Journal of Spine
2015;12(2):79-83
- CountryRepublic of Korea
- Language:English
-
Abstract:
Vascular injury presented immediately after the penetration, but delayed onset of vascular symptom caused by an embolism or vessel dissection after cervical fusion or traumatic event is extremely rare. We present a case of a 56-year-old woman who underwent an operation for cervical fusion for type II Odontoid process fracture. She presented symptoms of seizure with hemiparesis in 6 days after the operation. Multifocal acute infarction due to an embolism from the left VA (V3 segment) dissection was observed without a definite screw breach the transverse foramen. We hereby reported the instructive case report of delayed onset of vertebral artery dissection after posterior cervical fusion with type II odontoid process fracture patient. When a cervical operation performed in the cervical trauma patient, even if no apparent VA injury occurs before and during the operation, the surgeon must take caution not to risk cerebral infarction because of the delayed VA dissection.
