J Korean Soc Spine Surg.
1998 May;5(1):129-135.
Occlusion of Vertebral Artery and Cerebral Infarction after Cervical Spine Fracture: A Case Report
Abstract
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STUDY DESIGN: A case of brain infarction due to occlusion of vertebral artery after cervical spine fracture is reported.
OBJECTIVES
Documentation of possibility and clinical significances of brain infarction as one of grave complications after cervical spine injury. SUMMARY OF LITERATURE REVIEW: Occlusion of vertebral artery and consequent brain infarction can be associated with cervical spine injuries because vertebral arteries course through the transverse foramina from sixth to second corvical vertebrae. Infarction of vertebrobasilar system may cause impairment of cerebral, cerebellar, or brain stem function and can occasionally bring grave functional loss, even death. MATERIALS AND METHODS: A case of occlusion of vertebral artery and consequent cerebral infarction after cervical spine fracture in a 66 year-old man. Brain CT and angiogram were performed. He was managed with anticoagulants.
RESULTS
Neurologic deficits from brain infarction disappeared after 2 weeks.
CONCLUSIONS
Attention to the possibility of these complications and awareness of their clinical features seem to be mandatory in managing cervical spine injury patients.
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