Traumatic Entrapment of the Vertebrobasilar Junction Due to a Longitudinal Clival Fracture: A Case Report
Journal of Korean Medical Science
; : 747-751, 2008.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-123470
Responsible library:
WPRO
ABSTRACT
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.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Skull Fractures
/
Basilar Artery
/
Vertebral Artery
/
Tomography, X-Ray Computed
Limits:
Humans
/
Male
Language:
English
Journal:
Journal of Korean Medical Science
Year:
2008
Document type:
Article