BLUNT INJURIES TO THE EXTRACRANIAL CEREBRAL VESSELS ASSOCIATED WITH SPINE FRACTURES

被引：10

作者：

CORNACCHIA, LG ^{[1
]}

ABITBOL, JJ ^{[1
]}

HELLER, J ^{[1
]}

SCHNEIDERMAN, G ^{[1
]}

GARFIN, S ^{[1
]}

MARSHALL, LF ^{[1
]}

机构：

[1] UNIV CALIF SAN DIEGO,DEPT ORTHOPED SURG,225 DICKINSON ST,SAN DIEGO,CA 92103

来源：

SPINE | 1991年 / 16卷 / 10期

关键词：

CERVICAL SPINE INJURY; EXTRACRANIAL ARTERIAL INJURY; STROKE; HEAD TRAUMA; NECK TRAUMA; CAROTID DISSECTION; BLUNT HEAD AND NECK TRAUMA;

D O I：

10.1097/00007632-199110001-00010

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Injury of the extracranial carotid or vertebral artery with associated spine fractures is a rare but documented entity. In this article, four cases are examined in which patients suffered axial fractures after motor vehicle accidents and subsequently were found to have pathology in one or more of the extracranial arteries. Misdiagnosis is a common complication because symptoms from this are often attributable to closed head injury. Early detection and treatment, however, are essential. As many as 40% of the cases reported have permanent neurologic deficit. Although cerebral angiography remains the diagnostic gold standard, other modalities (eg, transcranial doppler and magnetic resonance angiography) continue to be examined. The treatment of these lesions remains controversial. A variety of surgical procedures may be applicable depending on the time between the injury and the onset of symptoms, the location of the vascular injury, and the rapidity of diagnosis. Anticoagulation therapy appears to play a large role in the management of patients with injury of the extracranial carotid or vertebral artery.

引用

页码：S506 / S510

页数：5

共 36 条

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