J Brachial Plex Peripher Nerve Inj 2007; 02(01): e66-e69
DOI: 10.1186/1749-7221-2-17
Case report
Motsitsi and Steyn; licensee BioMed Central Ltd.

Traumatic vertebral artery dissection in an adult with brachial plexus injury and cervical spinal fractures[*]

Silas NS Motsitsi
1   Department of Orthopaedic Surgery, Kalafong Hospital, University of Pretoria, Pretoria, South Africa
,
Rian R Steyn
1   Department of Orthopaedic Surgery, Kalafong Hospital, University of Pretoria, Pretoria, South Africa
› Author Affiliations

Subject Editor:
Further Information

Publication History

27 June 2007

06 September 2007

Publication Date:
17 September 2014 (online)

Abstract

We present a case of a 32 year-old right-hand dominant woman who sustained a right brachial plexus injury, ipsilateral fractures of the cervical spine transverse processes, and vertebral artery dissection. She presented to us four days following the initiating accident. Magnetic Resonance Imaging showed normal brachial plexus along with vertebral artery dissection with intramural thrombus and vascular lumen occlusion. The dissection was managed conservatively. A repeat CAT-SCAN Angiography three months later showed healing of the dissection plus vascular lumen re-canalization. There were no sequelae due to the dissection.

The details of the case are discussed in this report.

*This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


 
  • References

  • 1 Thanvi B, Munshi SK, Dawson SL, Robinson TG. Carotid and vertebral artery dissection syndromes. Postgraduate Medical Journal 2005; 81: 383-388 10.1136/pgmj.2003.016774 15937204
  • 2 Dill-Macky MarcusJ, Khangure Mark, Song Swithin. Traumatic cervical distraction complicated by delayed reduction due to traumatic vertebral artery pseudo-aneurysm. Australasian Radiology 1999; 43: 372-377 65 10.1046/j.1440-1673.1999.433688.x 10901941
  • 3 Inamasu Joji, Guiot BernardH. Vertebral artery injury after blunt cervical trauma: an update. Surgical Neurology 2006; 238-246 10.1016/j.surneu.2005.06.043 16488240
  • 4 Khurana DivyaS, Bonnemann CarstenG, Dooling ElizabethC, Ouellette EileenM, Buonanno Ferdinando. Vertebral Artery Dissection: Issues in Diagnosis and Management. Pediatric Neurology 1996; 14 (3) 255-258 10.1016/0887-8994(96)00015-X 8736412
  • 5 Mandila ChristinaG, Koukoulitsios GeorgiosV, Stathopoulos GeorgiosT, Karampelas Ioannis, Karydas Georgios, Karabinis Andreas. Unilateral and bilateral vertebral artery dissection following motor vehicle injury – two cases and a mini-review. International Journal of Angiology 2006; 14: 242-248 10.1007/s00547-005-2042-x
  • 6 Park Seong-Hyun, Sung Joo-Kyung, Hwang Sung-Kyoo. Traumatic vertebral artery dissection in a child with brachial plexus injury. Paediatric Neurosurgery 2005; 41: 141-144 10.1159/000085871
  • 7 Peltier J, Toussaint P, Page C, Descenclos C, Deramond H, Le Gars D. Dissection of the vertebral artery complicating Jefferson fracture. European Journal of Orthopaedic Surgery and Traumatology 2004; 14: 230-233 10.1007/s00590-004-0172-z
  • 8 Clay Cothren C, Moore ErnestE, Ray JR CharlesE, Johnson JeffreyL, Moore JohnB, Burch JonM. Cervical spine fracture patterns mandating screening to rule out blunt cerebrovascular injury. Surgery 2007; 141: 76-82 10.1016/j.surg.2006.04.005 17188170
  • 9 Taneichi Hiroshi, Suda Kota, Kajino Tomomichi, Kaneda Kiyoshi. Traumatically induced vertebral artery occlusion associated with cervical spine injuries; prospective study using Magnetic Resonance Imaging Angiography. Spine 2005; 30 (17) 1955-1963 10.1097/01.brs.0000176186.64276.d4 16135985
  • 10 Torino PhilipJ, Flanders AdamE, Carrino JohnA, Burns AnthonyS, friedman DavidP, Harrop JamesS, Vaccaro Alexander. Incidence of vertebral artery thrombosis in cervical spine trauma: correlation with severity of spinal cord injury. AJNR American Journal of Neuroradiology 26: 2645-2651 16286417
  • 11 Bub LawrenceD, Hollingworth William, jarvik JeffreyG, Hallam DanialK. Screening for blunt cerebrovascular injury: evaluating the accuracy of multidetector Computed Tomographic Angiography. Journal of Trauma 2005; 59: 691-697 16361914
  • 12 Eastman AlexanderL, Chason DavidP, Perez CarlosL, McAnulty AmyL, Minei JosephP. Computed Tomographic Angiography for the Diagnosis of Blunt Cervical Vascular Injury: Is It Ready forPrimetime?. J Trauma 2006; 60: 925-929 16688051
  • 13 Hasan Izhar, Wapnick Simon, Tenner MichaelS, Couldwell WilliamT. Vertebral Artery Dissection in Children: A Comprehensive Review. Pediatric Neurosurgery 2002; 37: 168-177 10.1159/000065391 12372909
  • 14 Beletsky Vadim, Nadareishvili Zurab, Lynch John, Shuaib Ashfaq, Woolfenden Andrew, Norris JohnW. Cervical Arterial Dissection: Time for a Therapeutic Trial?. Stroke 2003; 34: 2856-2860 10.1161/01.STR.0000098649.39767.BC 14605328