A Rare Case of Type II Odontoid Fracture With Bilateral Vertebral Arteries Occlusion Without Neurological Deficits
International Clinical Neuroscience Journal,
Vol. 8 No. 1 (2021),
30 December 2020
,
Page 48-50
Abstract
Cervical spine fractures are common fractures due to spine trauma. Odontoid fracture is responsible for 20% of cervical spine fractures. Vertebral artery injuries (VAIs) had widely focused in this setting due to its occurrence with upper cervical fractures. In our case of study, a 42-year-old female presented in the hospital’s emergency department with a history of cervical spine injury without neurological deficits. In further investigations, cervical spine X-ray, magnetic resonance imaging (MRI), and angiography were done to evaluate the possible injuries to the bone, spinal cord, and vascular structures surrounding the spine that eventuated in the accidental diagnosis of bilateral vertebral artery occlusion. This case of the study demonstrated the importance of diagnostic investigations that can evaluate in an emergency department and bilateral vertebral artery occlusion without neurological symptoms due to collateral arteries establishment.
- Odontoid Process
- Neurologic Deficits
- Fracture
How to Cite
References
Dunn ME, Seljeskog ELJN. Experience in the management of odontoid process injuries: an analysis of 128 cases. 1986;18(3):306-10.
Vasudevan K, Grossberg J, Spader H, Torabi R, Oyelese AJCn, neurosurgery. Age increases the risk of immediate postoperative dysphagia and pneumonia after odontoid screw fixation. 2014;126:185-9.
Anderson LD, D'alonzo RTJJoB, Joint Surgery AV. Fractures of the odontoid process of the axis. 2004;86(9).
Sullivan MP, McCormick JD, Arlet VJESJ. Vertebral artery injury and severely displaced odontoid fracture: the case for early reduction. 2013;22(10):2149-53.
Sullivan MP, McCormick JD, Arlet V. Vertebral artery injury and severely displaced odontoid fracture: the case for early reduction. European Spine Journal. 2013;22(10):2149-53.
Fassett DR, Dailey AT, Vaccaro AR. Vertebral artery injuries associated with cervical spine injuries: a review of the literature. Journal of spinal disorders & techniques. 2008;21(4):252-8.
Ismail F, Motsitsi S, Khan N, Fabris-Rotelli I. The pattern and prevalence of vertebral artery injury in patients with cervical spine fractures. SA Journal of Radiology. 2013;17(2).
Friedman D, Flanders A, Thomas C, Millar WJAAjor. Vertebral artery injury after acute cervical spine trauma: rate of occurrence as detected by MR angiography and assessment of clinical consequences. 1995;164(2):443-7.
Crocker M, Haliasos N, Rennie A, Saxena AJESJ. Blunt traumatic vertebral artery injury: a clinical review. 2011;20(9):1405-16.
Mimata Y, Murakami H, Sato K, Suzuki YJSr. Bilateral cerebellar and brain stem infarction resulting from vertebral artery injury following cervical trauma without radiographic damage of the spinal column: a case report. 2014;43(1):99-105.
Cothren CC, Moore EE, Ray Jr CE, Johnson JL, Moore JB, Burch JMJS. Cervical spine fracture patterns mandating screening to rule out blunt cerebrovascular injury. 2007;141(1):76-82.
Caplan LRJN. Bilateral distal vertebral artery occlusion. 1983;33(5):552-.
Okuyama T, Minamida Y, Sasaki T, Horikawa D, Izumiyama O, Mizuguchi M, et al. Traumatic occlusion of the bilateral vertebral arteries associated with fracture of the cervical spine--a case report. 1987;15(10):1141-5.
Archer CR, Horenstein SJS. Basilar artery occlusion: clinical and radiological correlation. 1977;8(3):383-90.
Fatic N, Jaffer U, Ivana S, Gordana G-V, Markovic D, Kostic D, et al. Bilateral internal carotid artery occlusion, external carotid artery stenosis, and vertebral artery kinking: may it be asymptomatic? 2017;44:416. e5-. e8.
Ausman JI, Liebeskind DS, Gonzalez N, Saver J, Martin N, Villablanca JP, et al. A review of the diagnosis and management of vertebral basilar (posterior) circulation disease. 2018;9.
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