1.Traumatic Entrapment of the Vertebrobasilar Junction Due to a Longitudinal Clival Fracture: A Case Report.
Joon CHO ; Chang Taek MOON ; Hyun Seung KANG ; Woo Jin CHOE ; Sang Keun CHANG ; Young Cho KOH ; Hong Gee ROH
Journal of Korean Medical Science 2008;23(4):747-751
Vertebrobasilar junction entrapment due to a clivus fracture is a rare clinical observation. The present case report describes a 54-yr-old man who sustained a major craniofacial injury. The patient displayed a stuporous mental state (Glasgow Coma Scale [GCS]=8) and left hemiparesis (Grade 3). The initial computed tomography (CT) scan revealed a right subdural hemorrhage in the frontotemporal region, with a midline shift and longitudinal clival fracture. A decompressive craniectomy with removal of the hematoma was performed. Two days after surgery, a follow-up CT scan showed cerebellar and brain stem infarction, and a CT angiogram revealed occlusion of the left vertebral artery and entrapment of vertebrobasilar junction by the clival fracture. A decompressive suboccipital craniectomy was performed and the patient gradually recovered. This appears to be a rare case of traumatic vertebrobasilar junction entrapment due to a longitudinal clival fracture, including a cerebellar infarction caused by a left vertebral artery occlusion. A literature review is provided.
Basilar Artery/*injuries
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Humans
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Male
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Middle Aged
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Skull Fractures/*complications/radiography
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Tomography, X-Ray Computed
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Vertebral Artery/*injuries
2.Eyelid swelling and lucency in the skull radiograph.
Annals of the Academy of Medicine, Singapore 2009;38(10):928-928
Child
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Edema
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diagnostic imaging
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etiology
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Emphysema
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diagnostic imaging
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etiology
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Ethmoid Bone
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diagnostic imaging
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injuries
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Eyelid Diseases
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diagnostic imaging
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etiology
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Humans
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Male
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Orbit
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diagnostic imaging
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Orbital Diseases
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diagnosis
;
diagnostic imaging
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pathology
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Radiography
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Skull
;
diagnostic imaging
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pathology
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Skull Fractures
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complications
;
diagnostic imaging