tailieunhanh - Báo cáo y học: "Traumatic vertebral artery dissection in an adult with brachial plexus injury and cervical spinal fracture"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Traumatic vertebral artery dissection in an adult with brachial plexus injury and cervical spinal fractures. | Journal of Brachial Plexus and Peripheral Nerve Injury BioMed Central Case report Open Access Traumatic vertebral artery dissection in an adult with brachial plexus injury and cervical spinal fractures Silas NS Motsitsi and Rian R Steyn Address Department of Orthopaedic Surgery Kalafong Hospital University of Pretoria Pretoria South Africa Email Silas NS Motsitsi - Rian R Steyn - riansteyn@ Corresponding author Published 6 September 2007 Received 27 June 2007 Journal of Brachial Plexus and Peripheral Nerve Injury 2007 2 17 doi 1749-7221-2- Accepted 6September 2007 17 This article is available from http content 2 1 17 2007 Motsitsi and Steyn licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. 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. Background Cervicocerebral dissection is responsible for strokes in young patients. It accounts for 20 of cerebro-vascular accidents in patients younger than 45 years 1 . Extra-cranial carotid artery dissection accounts for 70 -80 and extra-cranial vertebral artery dissection for 15 of strokes in these young