Traumatic lesion of the extracranial vertebral artery a note-worthy potentially lethal injury

作者: L. P�tsch , J. Bohl

DOI: 10.1007/BF01225496

关键词: Vertebral arteryVertebrobasilar insufficiencyThrombosisSpinal cordPoison controlAutopsySudden deathMedicineSurgeryBlunt trauma

摘要: The autopsy findings from routine neuropathological investigations of the cervical spine after any history trauma emphasized vulnerability extracranial vertebral arteries. In 21 cases with to head and neck, normal procedures did not succeed in revealing an obvious cause death. Traumatic lesions spinal cord such as contusion or neurorrhexis were seen 10 cases. 15 we observed different degrees stages traumatic Sudden death due acute brain stem ischemia might be considered explanation some these Six case reports artery (VA) severe minor are presented. A review literature revealed that this vascular injury has only rarely been directly established by gross pathological examination. Possible consequences blunt neck include angiorrhexis, subintimal, intramural perivascular hemorrhage leading a partial narrowing injured vessel. These processes can complicated thrombosis. Unilateral VA obliteration may occult risk when associated contralateral reduction posterior circulation.

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