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.Endovascular Stent-Graft Treatment of a Traumatic Vertebral Artery Pseudoaneurysm and Vertebrojugular Fistula.
Tanzer SANCAK ; Sadik BILGIC ; Evren USTUNER
Korean Journal of Radiology 2008;9(Suppl):S68-S72
An endovascular intervention is a feasible alternative to the technically challenging conventional surgery for the treatment of traumatic vertebral arterial lesions. This report describes a rare case involving a 22-year-old patient with a traumatic vertebral arterial pseudoaneurysm and multiple arteriovenous fistulas which were successfully sealed using the endovascular stent-graft technique.
Adult
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Aneurysm, False/etiology/radiography/*therapy
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Angiography
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Arteriovenous Fistula/etiology/radiography/*therapy
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Humans
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*Jugular Veins/radiography
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Male
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Stents
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Vertebral Artery/*injuries/radiography