Traumatic Vertebral Artery Dissection Without Cervical Spine Injury Treated by Mechanical Thrombectomy

A 59-year-old female injured in a motor vehicle accident presented with progressively impaired consciousness, and emergent magnetic resonance imaging (MRI) revealed basilar artery occlusion (BAO). Mechanical thrombectomy (MT) was performed immediately and achieved complete recanalization. Contrast-e...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-05, Vol.16 (5), p.e60287
Main Authors: Namikawa, Hiroki, Ogata, Atsushi, Furukawa, Takashi, Masuoka, Jun, Abe, Tatsuya
Format: Article
Language:English
Subjects:
Anticoagulants
Case reports
Catheters
Consciousness
Delirium
Dissection
Embolization
Emergency medical care
Fractures
Injuries
Ischemia
Magnetic resonance imaging
Medical imaging
Neck
Neurology
Neurosurgery
Pediatrics
Seat belts
Stroke
Trauma
Veins & arteries
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Description
Summary:A 59-year-old female injured in a motor vehicle accident presented with progressively impaired consciousness, and emergent magnetic resonance imaging (MRI) revealed basilar artery occlusion (BAO). Mechanical thrombectomy (MT) was performed immediately and achieved complete recanalization. Contrast-enhanced MRI also indicated right vertebral artery dissection (VAD), and the patient was subsequently diagnosed with artery-to-artery embolism caused by traumatic VAD. Anticoagulation therapy was initiated postoperatively, and there was no VAD or BAO recurrence during the three-month follow-up. This is the first reported case of BAO caused by traumatic VAD in an adult without accompanying cervical vertebral fracture treated using MT.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.60287